Organization Name: | ALTERNATIVE LIFE, INC |
NPI Number: | 1669694147 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARGIE PERRY GILL (PRESIDENT) |
Mailing Address: | 5624 Raintree Trace Oakwood |
State: | GA US |
Postal Code: | 305663014 |
Phone Number: | 6785469700 |
Fax Number: | 6785469200 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | GA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |