Provider Demographics
NPI:1558743971
Name:ALTERNATIVE CARE SOLUTION
Entity Type:Organization
Organization Name:ALTERNATIVE CARE SOLUTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:WAN
Authorized Official - Suffix:
Authorized Official - Credentials:MAC, ADS, LMT
Authorized Official - Phone:616-419-6924
Mailing Address - Street 1:3790 28TH ST SW
Mailing Address - Street 2:SUITE B
Mailing Address - City:GRANDVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49418-1390
Mailing Address - Country:US
Mailing Address - Phone:616-419-6924
Mailing Address - Fax:
Practice Address - Street 1:3790 28TH ST SW
Practice Address - Street 2:SUITE B
Practice Address - City:GRANDVILLE
Practice Address - State:MI
Practice Address - Zip Code:49418-1390
Practice Address - Country:US
Practice Address - Phone:616-419-6924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-22
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty