Provider Demographics
NPI:1467620971
Name:CHOICE AND CHANGE MINISTRIES
Entity Type:Organization
Organization Name:CHOICE AND CHANGE MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HUEY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:FRAZIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-352-4745
Mailing Address - Street 1:208 PAULA LN
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-5916
Mailing Address - Country:US
Mailing Address - Phone:318-352-4745
Mailing Address - Fax:
Practice Address - Street 1:208 PAULA LN
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-5916
Practice Address - Country:US
Practice Address - Phone:318-352-4745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1461831Medicaid
LA1155888Medicaid
LA1152722Medicaid