Organization
ALTERNATE FAMILY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD DAVID SIMON EDD (CFO)
(954) 746-5200
Entity
Organization
Contact information
Practice address
10001 W OAKLAND PARK BLVD, SUITE 200, SUNRISE, FL 33351-6925
(954) 746-5200
(954) 746-5216
Mailing address
10001 W OAKLAND PARK BLVD, SUITE 200, SUNRISE, FL 33351-6925
(954) 746-5200
(954) 746-5216
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
R-AFC-0906-100-6
FL
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
R-AFC-0906-101-6
FL
323P00000X
Psychiatric Residential Treatment Facility
R-AFC-1006-102-17
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029582500
—
FL
05
—
029582501
—
FL
05
—
029582502
—
FL
05
—
029582503
—
FL
05
—
029582504
—
FL
05
—
029582505
—
FL
05
—
029582507
—
FL
05
—
029582508
—
FL
05
—
029582510
—
FL
05
—
029582511
—
FL
05
—
029582516
—
FL
Enumeration date
01/30/2007
Last updated
05/13/2008
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