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NPI Code Detail

MEDICARE: ALTERNATIVE FAMILY SERVICES, INC

MEDICARE: ALTERNATIVE FAMILY SERVICES, 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
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811122732
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALTERNATIVE FAMILY SERVICES, INC
Provider Business Mailing Address
First Line : 1421 GUERNEVILLE ROAD
Second Line : SUITE 218
City : SANTA ROSA
State : CA
Zip : 95403-7255
Country : US
Telephone Number : 707-576-7700
Fax Number : 707-576-9700
Provider Business Practice Location Address
First Line : 250 EXECUTIVE PARK BLVD
Second Line : SUITE 4900
City : SAN FRANCISCO
State : CA
Zip : 94134-3335
Country : US
Telephone Number : 415-656-0116
Fax Number : 415-656-0117
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MARSHA LEWIS-AKYEEM
Credential : M.S.
Telephone Number : 916-202-7480
Provider Enumeration Date : 05/20/2009
Last Update Date : 02/23/2022

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Directions to “ALTERNATIVE FAMILY SERVICES, INC ” Practice Location

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