Provider Demographics
NPI:1356390892
Name:ALTERNATIVE HEALTH CARE SERVICES
Entity type:Organization
Organization Name:ALTERNATIVE HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:
Authorized Official - Last Name:GIVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-549-7337
Mailing Address - Street 1:336 N WALTER ST
Mailing Address - Street 2:
Mailing Address - City:WALTERBORO
Mailing Address - State:SC
Mailing Address - Zip Code:29488-3914
Mailing Address - Country:US
Mailing Address - Phone:843-549-7337
Mailing Address - Fax:843-549-5960
Practice Address - Street 1:336 N WALTER ST
Practice Address - Street 2:
Practice Address - City:WALTERBORO
Practice Address - State:SC
Practice Address - Zip Code:29488-3914
Practice Address - Country:US
Practice Address - Phone:843-549-7337
Practice Address - Fax:843-549-5960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEX0217Medicaid