| Organization Name: | ALPHA SUPPORTED LIVING SERVICES |
| NPI Number: | 1083031066 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SCOTT LIVENGOOD (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 16030 Juanita Woodinville Way Ne Bothell |
| State: | WA US |
| Postal Code: | 980115412 |
| Phone Number: | 2062849130 |
| Fax Number: | 4254201133 |
| NPI Enumeration Date: | 03/27/2014 |
| NPI Last Update Date: | 03/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 601138481 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |