Provider Demographics
NPI:1104364694
Name:PERSONAL CHOYCE HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:PERSONAL CHOYCE HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOYCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-868-7479
Mailing Address - Street 1:207 E PLEASANT RUN RD
Mailing Address - Street 2:UNIT 3230
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-3965
Mailing Address - Country:US
Mailing Address - Phone:214-868-7479
Mailing Address - Fax:
Practice Address - Street 1:207 E PLEASANT RUN RD
Practice Address - Street 2:UNIT 3230
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-3965
Practice Address - Country:US
Practice Address - Phone:214-868-7479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care