Provider Demographics
NPI:1962864652
Name:FIRST CHOICE SERVICE FACILITATION LLC
Entity Type:Organization
Organization Name:FIRST CHOICE SERVICE FACILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/SF/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:STOWE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:276-288-4547
Mailing Address - Street 1:159 BLUEBERRY HILLS LN
Mailing Address - Street 2:
Mailing Address - City:PATRICK SPRINGS
Mailing Address - State:VA
Mailing Address - Zip Code:24133-3875
Mailing Address - Country:US
Mailing Address - Phone:276-288-4548
Mailing Address - Fax:276-694-3880
Practice Address - Street 1:159 BLUEBERRY HILLS LN
Practice Address - Street 2:
Practice Address - City:PATRICK SPRINGS
Practice Address - State:VA
Practice Address - Zip Code:24133-3875
Practice Address - Country:US
Practice Address - Phone:276-288-4548
Practice Address - Fax:276-694-3880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management