Provider Demographics
NPI:1639469893
Name:PEOPLE'S CHOICE RESIDENTIAL
Entity Type:Organization
Organization Name:PEOPLE'S CHOICE RESIDENTIAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:OGADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-240-9655
Mailing Address - Street 1:15602 ECHO CANYON DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-3115
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15602 ECHO CANYON DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-3115
Practice Address - Country:US
Practice Address - Phone:713-240-9655
Practice Address - Fax:713-532-4197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health