Organization
ALTERNATIVE CARE GROUP LLC
Active
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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