Provider Demographics
NPI:1578704094
Name:FIRST CHOICE HOSPICE, INC
Entity Type:Organization
Organization Name:FIRST CHOICE HOSPICE, INC
Other - Org Name:FIRST CHOICE HOSPICE ANDALUSIA, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:JANET
Authorized Official - Last Name:BOWDEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:334-798-2956
Mailing Address - Street 1:PO BOX 476
Mailing Address - Street 2:
Mailing Address - City:ELBA
Mailing Address - State:AL
Mailing Address - Zip Code:36323-0476
Mailing Address - Country:US
Mailing Address - Phone:334-897-0650
Mailing Address - Fax:
Practice Address - Street 1:1015 SOUTH THREENOTCH STREET
Practice Address - Street 2:
Practice Address - City:ANDALUSIA
Practice Address - State:AL
Practice Address - Zip Code:36420-0476
Practice Address - Country:US
Practice Address - Phone:334-897-0650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-12
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based