Provider Demographics
NPI:1295125367
Name:FIRST CHOICE HOME & COMMUNITY SERVICES INC
Entity type:Organization
Organization Name:FIRST CHOICE HOME & COMMUNITY SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ABDULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TALL
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:610-200-4299
Mailing Address - Street 1:520 PUSEY AVE
Mailing Address - Street 2:SUITE 230
Mailing Address - City:COLLINGDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19023-3300
Mailing Address - Country:US
Mailing Address - Phone:610-200-4299
Mailing Address - Fax:
Practice Address - Street 1:520 PUSEY AVE
Practice Address - Street 2:SUITE 230
Practice Address - City:COLLINGDALE
Practice Address - State:PA
Practice Address - Zip Code:19023-3300
Practice Address - Country:US
Practice Address - Phone:610-200-4299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-28
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No302F00000XManaged Care OrganizationsExclusive Provider Organization
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child