Healthcare Provider Details

I. General information

NPI: 1609096098
Provider Name (Legal Business Name): ALTERNATIVES UNLIMITED INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

367 BURNCOAT STREET
WORCESTER MA
01606
US

IV. Provider business mailing address

54 DOUGLAS ROAD
WHITINSVILLE MA
01588
US

V. Phone/Fax

Practice location:
  • Phone: 508-234-6232
  • Fax: 508-234-1666
Mailing address:
  • Phone: 508-234-6232
  • Fax: 508-234-1666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1312278
Identifier TypeMEDICAID
Identifier StateMA
Identifier Issuer

VIII. Authorized Official

Name: ELIZABETH G FOSS
Title or Position: FISCAL MANAGER
Credential:
Phone: 508-234-6232