Provider Demographics
NPI:1689813719
Name:CHOICE HEALTHCARE SERVICES,LLC
Entity type:Organization
Organization Name:CHOICE HEALTHCARE SERVICES,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NNENNA
Authorized Official - Middle Name:UZO
Authorized Official - Last Name:OGWO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-464-0660
Mailing Address - Street 1:6804 WILLOW CREEK RD
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-3327
Mailing Address - Country:US
Mailing Address - Phone:301-464-0660
Mailing Address - Fax:301-464-0660
Practice Address - Street 1:6804 WILLOW CREEK RD
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-3327
Practice Address - Country:US
Practice Address - Phone:301-464-0660
Practice Address - Fax:301-464-0660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-12
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty