| Alternative Living Solutions Of South Carolina Llc | |
|
1501 S Ocean Blvd Ste 839 Myrtle Beach SC 29577-4545 | |
| (704) 612-0566 | |
| (704) 498-4846 |
| Full Name | Alternative Living Solutions Of South Carolina Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1501 S Ocean Blvd Ste 839, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Stephanie Renee Shine-morrison (CEO) |
| Authorized Official Contact | 7046120566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alternative Living Solutions Of South Carolina Llc 1501 S Ocean Blvd Ste 839 Myrtle Beach SC 29577-4545 Ph: (704) 612-0566 | Alternative Living Solutions Of South Carolina Llc 1501 S Ocean Blvd Ste 839 Myrtle Beach SC 29577-4545 Ph: (704) 612-0566 |
| NPI Number | 1609463900 |
|---|---|
| Provider Enumeration Date | 12/21/2020 |
| Last Update Date | 12/21/2020 |
| Certification Date | 12/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609463900 | NPI | - | NPPES |
| 201221-1457506 | Medicaid | SC |
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