Alfredo's is excellent. The restaurant existed before the Holiday Inn in which it is housed. So this is definitely not your usual motel restaurant.
The menu includes polenta fries, tripe, and swiss chard patties in addition to other Italian standards like gnocchi and chicken parmesan. We liked it so much we went back for dinner a second night.
Servers were good. As another reviewer noted, the place does get busy, so service may be slow. The food more than made up for it.
Next time we're in Mayfield, we'll be back.