Organization
ALTERNATIVES LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKEY WAYNE ROBERSON SR. M.S.M. (CFO)
(504) 400-3583
Entity
Organization
Contact information
Practice address
201 SAINT CHARLES AVE, STE. 2543, NEW ORLEANS, LA 70170-1000
(504) 821-4439
(504) 821-4775
Mailing address
201 SAINT CHARLES AVE, STE. 2543, NEW ORLEANS, LA 70170-1000
(504) 821-4439
(504) 821-4775
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
12269
LA
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
12270
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1564605
—
LA
05
—
1564613
—
LA
Enumeration date
04/11/2007
Last updated
08/22/2020
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