Provider Demographics
NPI:1235990292
Name:THE CHOICE ZONE
Entity Type:Organization
Organization Name:THE CHOICE ZONE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:CLC, MA, TLLP
Authorized Official - Phone:248-403-9386
Mailing Address - Street 1:21626 W 10 MILE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-1073
Mailing Address - Country:US
Mailing Address - Phone:248-983-4371
Mailing Address - Fax:248-970-1061
Practice Address - Street 1:21626 W 10 MILE RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-1073
Practice Address - Country:US
Practice Address - Phone:248-983-4371
Practice Address - Fax:248-970-1061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health