Organization
LIVING ALTERNATIVES FO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA S MITZELFELD MBA (CEO)
(810) 750-4596
Entity
Organization
Contact information
Practice address
300 WHITNEY ST, DOWAGIAC, MI 49047-1672
(269) 782-0654
(269) 782-3828
Mailing address
300 WHITNEY ST, DOWAGIAC, MI 49047-1672
(269) 782-0654
(269) 782-3828
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598000549
NPI
MI
Enumeration date
09/14/2017
Last updated
07/21/2022
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