Provider Demographics
NPI:1013611755
Name:CHOZEN1 ENTERPRISES INC
Entity type:Organization
Organization Name:CHOZEN1 ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATIFAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-235-5272
Mailing Address - Street 1:101 FOREST DR STE B
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-9603
Mailing Address - Country:US
Mailing Address - Phone:866-235-5272
Mailing Address - Fax:
Practice Address - Street 1:101 FOREST DR STE B
Practice Address - Street 2:
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-9603
Practice Address - Country:US
Practice Address - Phone:866-235-5272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-28
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)