Provider Demographics
NPI:1033594148
Name:ALTERNATIVE THERAPEUTIC HOME CARE INC
Entity Type:Organization
Organization Name:ALTERNATIVE THERAPEUTIC HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:VERNELL
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:757-324-8990
Mailing Address - Street 1:427 W 37TH ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23508-3209
Mailing Address - Country:US
Mailing Address - Phone:757-324-8990
Mailing Address - Fax:
Practice Address - Street 1:427 W 37TH ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23508-3209
Practice Address - Country:US
Practice Address - Phone:757-324-8990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health