Provider Demographics
NPI:1194497768
Name:ALTERNATIVE KEY CARE LLC
Entity type:Organization
Organization Name:ALTERNATIVE KEY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LATOYA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAURINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-447-6248
Mailing Address - Street 1:PO BOX 5362
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30114-0035
Mailing Address - Country:US
Mailing Address - Phone:404-447-6248
Mailing Address - Fax:
Practice Address - Street 1:30 LAUREL CANYON VILLAGE CIR APT 1201
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30114-4487
Practice Address - Country:US
Practice Address - Phone:404-447-6248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty