Provider Demographics
NPI:1326793563
Name:FIRST CHOICE AFFORDABLE HEALTH CARE, LLC
Entity Type:Organization
Organization Name:FIRST CHOICE AFFORDABLE HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOLENE
Authorized Official - Middle Name:K
Authorized Official - Last Name:MUBANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-463-4219
Mailing Address - Street 1:7826 EASTERN AVE NW # 411-B
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1324
Mailing Address - Country:US
Mailing Address - Phone:240-463-4219
Mailing Address - Fax:
Practice Address - Street 1:7826 EASTERN AVE NW # 411-B
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1324
Practice Address - Country:US
Practice Address - Phone:240-463-4219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health