Provider Demographics
NPI:1013441377
Name:ASSISTED LIVING ALTERNATIVES
Entity Type:Organization
Organization Name:ASSISTED LIVING ALTERNATIVES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:SARAH ANNE
Authorized Official - Last Name:BEECH
Authorized Official - Suffix:
Authorized Official - Credentials:NAR
Authorized Official - Phone:253-632-9434
Mailing Address - Street 1:708 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:WA
Mailing Address - Zip Code:98354-9300
Mailing Address - Country:US
Mailing Address - Phone:253-952-2052
Mailing Address - Fax:
Practice Address - Street 1:708 27TH AVE
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:WA
Practice Address - Zip Code:98354-9300
Practice Address - Country:US
Practice Address - Phone:253-952-2052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-13
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA678600311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home