Provider Demographics
NPI:1548610678
Name:FIRST CHOICE REHABILITATION AND CONSULTING SERVICES ,LLC
Entity Type:Organization
Organization Name:FIRST CHOICE REHABILITATION AND CONSULTING SERVICES ,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BHAVNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:732-801-6651
Mailing Address - Street 1:6 REAGAN ST
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-3933
Mailing Address - Country:US
Mailing Address - Phone:732-801-6651
Mailing Address - Fax:732-862-1274
Practice Address - Street 1:6 REAGAN ST
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-3933
Practice Address - Country:US
Practice Address - Phone:732-801-6651
Practice Address - Fax:732-862-1274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-20
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation