Provider Demographics
NPI:1609117464
Name:BEST CHOICE SUPPORTIVE LIVING SERVICES
Entity Type:Organization
Organization Name:BEST CHOICE SUPPORTIVE LIVING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PRESTON
Authorized Official - Middle Name:MIKHAIL
Authorized Official - Last Name:DENHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-568-6688
Mailing Address - Street 1:31800 NORTHWESTERN HWY STE 325
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-1657
Mailing Address - Country:US
Mailing Address - Phone:248-568-6688
Mailing Address - Fax:248-522-6774
Practice Address - Street 1:31800 NORTHWESTERN HWY STE 325
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1657
Practice Address - Country:US
Practice Address - Phone:248-568-6688
Practice Address - Fax:248-522-6774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-04
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services