Provider Demographics
NPI:1508226754
Name:1ST CHOICE DAY HAB
Entity Type:Organization
Organization Name:1ST CHOICE DAY HAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ODILE
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:BLEDSOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-677-5221
Mailing Address - Street 1:1915 HEATHER GLEN DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75232-2313
Mailing Address - Country:US
Mailing Address - Phone:214-677-5221
Mailing Address - Fax:214-330-6194
Practice Address - Street 1:4210 S WESTMORELAND RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75233-3720
Practice Address - Country:US
Practice Address - Phone:214-677-5221
Practice Address - Fax:214-330-6194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-01
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services