Provider Demographics
NPI:1679715676
Name:NEW ALTERNATIVES IN COMMUNITY LIVING, INC.
Entity type:Organization
Organization Name:NEW ALTERNATIVES IN COMMUNITY LIVING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:P
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-266-0156
Mailing Address - Street 1:1406 SE 36TH AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-4939
Mailing Address - Country:US
Mailing Address - Phone:352-840-5418
Mailing Address - Fax:352-840-9763
Practice Address - Street 1:1406 SE 36TH AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-4939
Practice Address - Country:US
Practice Address - Phone:352-840-5418
Practice Address - Fax:352-840-9763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-06
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13001056A251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL683503198Medicaid