Provider Demographics
NPI:1023244068
Name:A&C ALTERNATIVE CARE SUPPORT INC
Entity type:Organization
Organization Name:A&C ALTERNATIVE CARE SUPPORT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:QIDP DIRECTOR
Authorized Official - Phone:757-333-7613
Mailing Address - Street 1:5295 GREENWICH RD. #105
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-6046
Mailing Address - Country:US
Mailing Address - Phone:757-333-7613
Mailing Address - Fax:757-333-7614
Practice Address - Street 1:5295 GREENWICH RD. #105
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-6046
Practice Address - Country:US
Practice Address - Phone:757-333-7613
Practice Address - Fax:757-333-7614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-04
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA090107475253Z00000X
VA1241-03-011253Z00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care