Alternative Living, Inc.
Organization Active NPI Assisted Living Facility · Niceville, FL
NPI 1326326869 · NPPES record last updated Aug 2, 2011
Key facts
- NPI
- 1326326869
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- AL5462 (FL)
- Legal business name
- ALTERNATIVE LIVING, INC.
- Practice address
- 1053 John Sims Parkway
Niceville, FL 32578 - Phone
- (850) 833-9212
- Fax
- (850) 833-9389
- NPI assigned
- Aug 2, 2011
- Organization subpart
- No
Authorized official
- Name
- Mrs. Ruth R. Lovejoy
- Title
- Administrator
- Phone
- (850) 833-9165
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Alternative Living Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL5462 | FL | Yes |
Addresses
Primary practice location
1053 John Sims Parkway
Niceville, FL 32578
Mailing address
207 Hospital Drive
Fort Walton Beach, FL 32548
Phone (850) 833-9165
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 676877601 | Medicaid | FL |
Other names
- Twin Cities Pavilion
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.