OrganizationActive
Alternative Living Solutions
NPI 1225368236 · Preferred Provider Organization · Riverdale, GA
Provider details
- NPI number
- 1225368236
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Vivian Tyson, Asst. Director(678) 793-4365
Specialties & taxonomies
Managed Care Organizations
- Point of Service305S00000X
Managed Care Organizations
Practice location
7271 Attache Way
Riverdale, GA 30296-2005
Phone: (770) 996-4667
Approximate (ZIP-level) locationGet directions
Mailing address
7271 Attache Way
Riverdale, GA 30296-2005
Registry dates
- Enumerated
- 2010-01-14
- Last updated
- 2010-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.