Healthcare Provider Details

I. General information

NPI: 1174740609
Provider Name (Legal Business Name): ALTERNATIVE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1983 STATE ROUTE 34
WALL NJ
07719-9750
US

IV. Provider business mailing address

1983 STATE ROUTE 34
WALL NJ
07719-9750
US

V. Phone/Fax

Practice location:
  • Phone: 732-974-7666
  • Fax: 732-974-2261
Mailing address:
  • Phone: 732-974-7666
  • Fax: 732-974-2261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License NumberNJ83010
License Number StateNJ

VIII. Authorized Official

Name: GEORGE MERVINE
Title or Position: PRESIDENT
Credential:
Phone: 908-489-3060