Provider Demographics
NPI:1902186307
Name:CHOICE RESPITE STRATEGIES
Entity Type:Organization
Organization Name:CHOICE RESPITE STRATEGIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:R
Authorized Official - Last Name:SWOLSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-290-2265
Mailing Address - Street 1:1690 WOODLANDS DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-4045
Mailing Address - Country:US
Mailing Address - Phone:419-897-7977
Mailing Address - Fax:419-897-0888
Practice Address - Street 1:1690 WOODLANDS DR
Practice Address - Street 2:SUITE 200
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-4045
Practice Address - Country:US
Practice Address - Phone:419-897-7977
Practice Address - Fax:419-897-0888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health