Provider Demographics
NPI:1710409040
Name:1ST CHOICE HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:1ST CHOICE HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:WYATT-DEEM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:740-423-9789
Mailing Address - Street 1:PO BOX 373
Mailing Address - Street 2:
Mailing Address - City:LITTLE HOCKING
Mailing Address - State:OH
Mailing Address - Zip Code:45742-0373
Mailing Address - Country:US
Mailing Address - Phone:740-423-9789
Mailing Address - Fax:614-423-2004
Practice Address - Street 1:2126 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:BELPRE
Practice Address - State:OH
Practice Address - Zip Code:45714-1931
Practice Address - Country:US
Practice Address - Phone:740-423-9789
Practice Address - Fax:614-423-2004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-07
Last Update Date:2017-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health