OrganizationActive
Supportive Alternative Living
NPI 1649706284 · Exclusive Provider Organization · Milford, MI
Provider details
- NPI number
- 1649706284
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Patricia Peters, Executive Director(248) 685-2639
Specialties & taxonomies
Managed Care Organizations
Practice location
425 W Huron St
Suite #130
Milford, MI 48381-2242
Phone: (248) 685-2639
Fax: (248) 685-7524
Approximate (ZIP-level) locationGet directions
Mailing address
425 W Huron St
Milford, MI 48381-2242
Registry dates
- Enumerated
- 2017-05-02
- Last updated
- 2017-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.