OrganizationActive
Alternative Lifestyles, Inc.
NPI 1285859736 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lagrange, IN
Provider details
- NPI number
- 1285859736
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Floyd Prisock, C.e.o.(260) 463-7079
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
995 N 250 W
Lagrange, IN 46761-9459
Phone: (260) 463-7079
Approximate (ZIP-level) locationGet directions
Mailing address
995 N 250 W
Lagrange, IN 46761-9459
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.