MEDICARE: A CARING ALTERNATIVE HEALTHCARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD1600X	Developmental Disabilities Clinic/Center

General Provider Information

NPI Number	:	1285147207
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A CARING ALTERNATIVE HEALTHCARE INC

Provider Business Mailing Address
First Line	:	PO BOX 151
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34954-0151
Country	:	US
Telephone Number	:	772-538-7176
Fax Number	:

Provider Business Practice Location Address
First Line	:	2134 N US HIGHWAY 1
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34946-8993
Country	:	US
Telephone Number	:	772-538-7176
Fax Number	:	772-538-7176

Authorized Official
Title or Position	:	CEO
Name	:	DANIELLE JONSON
Credential	:
Telephone Number	:	772-538-7176

Provider Enumeration Date	:	11/13/2017
Last Update Date	:	11/13/2017

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