Provider Demographics
NPI:1851760631
Name:1ST CHOICE PROVIDERS LLC
Entity Type:Organization
Organization Name:1ST CHOICE PROVIDERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-265-8512
Mailing Address - Street 1:3717 FULTON DR NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-3258
Mailing Address - Country:US
Mailing Address - Phone:330-265-8512
Mailing Address - Fax:
Practice Address - Street 1:3717 FULTON DR NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-3258
Practice Address - Country:US
Practice Address - Phone:330-265-8512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-22
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services