Provider Demographics
NPI:1013096023
Name:MULTI-CHOICE HOME HEALTH SERVICES INCORPORATED
Entity Type:Organization
Organization Name:MULTI-CHOICE HOME HEALTH SERVICES INCORPORATED
Other - Org Name:MULTI-CHOICE HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:OKWO
Authorized Official - Middle Name:
Authorized Official - Last Name:EWAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-221-3343
Mailing Address - Street 1:9304 FOREST LANE
Mailing Address - Street 2:STE S125
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243
Mailing Address - Country:US
Mailing Address - Phone:214-221-3343
Mailing Address - Fax:214-221-3386
Practice Address - Street 1:9304 FOREST LANE
Practice Address - Street 2:STE S125
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243
Practice Address - Country:US
Practice Address - Phone:214-221-3343
Practice Address - Fax:214-221-3386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010804251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010804OtherSTATE LICENSE