Organization
ALTERNATIVE CARE GROUP LLC
Active
Other names
Alternative Care Group LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONI MABIEN (EXECUTIVE DIRECTOR)
(813) 699-0955
Entity
Organization
Contact information
Practice address
8761 N 56TH ST UNIT 292716, TEMPLE TERRACE, FL 33617-6274
(813) 699-0955
Mailing address
8761 N 56TH ST UNIT 292716, TEMPLE TERRACE, FL 33617-6274
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105396200
—
FL
Enumeration date
08/24/2020
Last updated
08/25/2020
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