Provider Demographics
NPI:1043540610
Name:FAMILY ALTERNATIVES, INC.
Entity type:Organization
Organization Name:FAMILY ALTERNATIVES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAVERN
Authorized Official - Middle Name:S
Authorized Official - Last Name:OXENDINE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:910-739-6624
Mailing Address - Street 1:PO BOX 963
Mailing Address - Street 2:103 NORTH ELM STREET
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28359-0963
Mailing Address - Country:US
Mailing Address - Phone:910-739-6624
Mailing Address - Fax:910-739-6781
Practice Address - Street 1:104 E GERTRUDE ST
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:NC
Practice Address - Zip Code:28340-1802
Practice Address - Country:US
Practice Address - Phone:910-628-7576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities