Provider Demographics
NPI:1205194172
Name:ALTERNATIVES, INC.
Entity Type:Organization
Organization Name:ALTERNATIVES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR OF ADMINISTRATIO
Authorized Official - Prefix:MS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:P
Authorized Official - Last Name:BRAGDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-272-4009
Mailing Address - Street 1:PO BOX 766
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-0766
Mailing Address - Country:US
Mailing Address - Phone:203-272-4009
Mailing Address - Fax:203-272-4077
Practice Address - Street 1:48 LAKESIDE BLVD EAST
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708
Practice Address - Country:US
Practice Address - Phone:203-272-4009
Practice Address - Fax:203-272-4077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-30
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities