Provider Demographics
NPI:1386221638
Name:BEST CHOICE GROUP HOME LLC
Entity Type:Organization
Organization Name:BEST CHOICE GROUP HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SELENA
Authorized Official - Middle Name:A
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-299-5566
Mailing Address - Street 1:6641 BO PEEP DR N
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32210-2913
Mailing Address - Country:US
Mailing Address - Phone:904-299-5566
Mailing Address - Fax:904-586-2001
Practice Address - Street 1:6641 BO PEEP DR N
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-2913
Practice Address - Country:US
Practice Address - Phone:904-299-5566
Practice Address - Fax:904-586-2001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities