Provider Demographics
NPI:1659891935
Name:CHOICES HEALTH AND WELLNESS LLC
Entity Type:Organization
Organization Name:CHOICES HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LUTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-491-1180
Mailing Address - Street 1:7015 SPRING MEADOWS WEST
Mailing Address - Street 2:SUITE-102
Mailing Address - City:HOLLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43528
Mailing Address - Country:US
Mailing Address - Phone:419-491-1180
Mailing Address - Fax:419-491-1181
Practice Address - Street 1:7015 SPRING MEADOWS WEST
Practice Address - Street 2:SUITE-102
Practice Address - City:HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43528
Practice Address - Country:US
Practice Address - Phone:419-491-1180
Practice Address - Fax:419-491-1181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-27
Last Update Date:2017-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health