Healthcare Provider Details
I. General information
NPI: 1952870578
Provider Name (Legal Business Name): ALTERNATE SOLUTIONS HEALTH NETWORK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/14/2018
Last Update Date: 11/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1050 FORRER BLVD
KETTERING OH
45420-1472
US
IV. Provider business mailing address
1050 FORRER BLVD
KETTERING OH
45420-1472
US
V. Phone/Fax
- Phone: 937-299-1111
- Fax:
- Phone:
- 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 | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AL
LEFELD
Title or Position: CFO
Credential:
Phone: 937-299-1111