Provider Demographics
NPI:1184034803
Name:FIRST CHOICE COMPANION SERVICES LLC
Entity Type:Organization
Organization Name:FIRST CHOICE COMPANION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ENOCE
Authorized Official - Middle Name:
Authorized Official - Last Name:JACQUES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-318-6889
Mailing Address - Street 1:3891 10TH AVE N
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-2853
Mailing Address - Country:US
Mailing Address - Phone:561-318-6889
Mailing Address - Fax:561-360-3042
Practice Address - Street 1:3891 10TH AVE N
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-2853
Practice Address - Country:US
Practice Address - Phone:561-318-6889
Practice Address - Fax:561-360-3042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-02
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health