Provider Demographics
NPI:1568731735
Name:FIRST CHOICE HOME HEALTH CARE
Entity Type:Organization
Organization Name:FIRST CHOICE HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KETURAH
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-309-8084
Mailing Address - Street 1:200 FRANDORSON CIR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:APOLLO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33572-2689
Mailing Address - Country:US
Mailing Address - Phone:813-645-2986
Mailing Address - Fax:
Practice Address - Street 1:200 FRANDORSON CIR
Practice Address - Street 2:SUITE 203
Practice Address - City:APOLLO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33572-2689
Practice Address - Country:US
Practice Address - Phone:813-645-2986
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-18
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health