Provider Demographics
NPI:1710192323
Name:RESIDENTIAL ALTERNATIVES, INC.
Entity type:Organization
Organization Name:RESIDENTIAL ALTERNATIVES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FEIJOO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-634-7206
Mailing Address - Street 1:PO BOX 709
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48357-0709
Mailing Address - Country:US
Mailing Address - Phone:248-634-7206
Mailing Address - Fax:248-634-4333
Practice Address - Street 1:9080 MILFORD RD
Practice Address - Street 2:
Practice Address - City:HOLLY
Practice Address - State:MI
Practice Address - Zip Code:48442-8663
Practice Address - Country:US
Practice Address - Phone:248-634-7206
Practice Address - Fax:248-634-4333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services