Healthcare Provider Details
I. General information
NPI: 1942426580
Provider Name (Legal Business Name): ALTERNATIVE CHOICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/18/2007
Last Update Date: 02/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
535 EMMETT ST E
BATTLE CREEK MI
49017-5682
US
IV. Provider business mailing address
6001 N ADAMS RD STE 165
BLOOMFIELD HILLS MI
48304-1566
US
V. Phone/Fax
- Phone: 269-966-1347
- Fax:
- Phone: 248-641-7200
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DIANE
NELSON
Title or Position: C.O.O.
Credential:
Phone: 269-966-1347