Healthcare Provider Details

I. General information

NPI: 1356390892
Provider Name (Legal Business Name): ALTERNATIVE HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

336 N WALTER ST
WALTERBORO SC
29488-3914
US

IV. Provider business mailing address

336 N WALTER ST
WALTERBORO SC
29488-3914
US

V. Phone/Fax

Practice location:
  • Phone: 843-549-7337
  • Fax: 843-549-5960
Mailing address:
  • Phone: 843-549-7337
  • Fax: 843-549-5960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ALFRED GIVENS
Title or Position: ADMINISTRATOR
Credential:
Phone: 843-549-7337