Provider Demographics
NPI:1194190942
Name:CHOICES UNLIMITED, INC.
Entity Type:Organization
Organization Name:CHOICES UNLIMITED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MANUELA
Authorized Official - Middle Name:CHRISTINA
Authorized Official - Last Name:MANN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:503-936-2818
Mailing Address - Street 1:PO BOX 1714
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030-0533
Mailing Address - Country:US
Mailing Address - Phone:503-936-2818
Mailing Address - Fax:
Practice Address - Street 1:3474 SE HILL RD
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97267-1571
Practice Address - Country:US
Practice Address - Phone:503-786-6211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-04
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR090000627RN311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home