Provider Demographics
NPI:1174183172
Name:YOUR CHOICE HOME CARE LLC
Entity Type:Organization
Organization Name:YOUR CHOICE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:770-239-2772
Mailing Address - Street 1:3326 MADISON RIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-6815
Mailing Address - Country:US
Mailing Address - Phone:770-239-2772
Mailing Address - Fax:770-239-2772
Practice Address - Street 1:3326 MADISON RIDGE TRL
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-6815
Practice Address - Country:US
Practice Address - Phone:770-239-2772
Practice Address - Fax:770-239-2772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-20
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health