Organization
ALTERNATIVE LIVING SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIVIAN TYSON (ASST. DIRECTOR)
(678) 793-4365
Entity
Organization
Contact information
Practice address
7271 ATTACHE WAY, RIVERDALE, GA 30296-2005
(770) 996-4667
Mailing address
7271 ATTACHE WAY, RIVERDALE, GA 30296-2005
(770) 996-4667
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
GA
305S00000X
Point of Service
—
GA
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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