Provider Demographics
NPI:1013059948
Name:CHOICES INC.
Entity Type:Organization
Organization Name:CHOICES INC.
Other - Org Name:CLEANING UNLEASHED
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CHAVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-650-1958
Mailing Address - Street 1:484 SOUTH 100 EAST
Mailing Address - Street 2:P.O. BOX 155
Mailing Address - City:WELLINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84542-0155
Mailing Address - Country:US
Mailing Address - Phone:435-650-1958
Mailing Address - Fax:435-637-5087
Practice Address - Street 1:484 SOUTH 1ST EAST
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:UT
Practice Address - Zip Code:84542-0155
Practice Address - Country:US
Practice Address - Phone:435-650-1958
Practice Address - Fax:435-637-5087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities