Provider Demographics
NPI:1497800213
Name:ALTERNATIVE AVENUES, INC.
Entity Type:Organization
Organization Name:ALTERNATIVE AVENUES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPLE
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:ANDREA
Authorized Official - Last Name:BURGDORF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-759-9233
Mailing Address - Street 1:397 CHURCHILL HUBBARD RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44505-1375
Mailing Address - Country:US
Mailing Address - Phone:330-759-9233
Mailing Address - Fax:330-759-9677
Practice Address - Street 1:397 CHURCHILL HUBBARD RD
Practice Address - Street 2:SUITE 2
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-1375
Practice Address - Country:US
Practice Address - Phone:330-759-9233
Practice Address - Fax:330-759-9677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies