Provider Demographics
NPI:1336585553
Name:1ST CHOICE HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:1ST CHOICE HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FATMATA
Authorized Official - Middle Name:BINTA
Authorized Official - Last Name:BAH
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:301-741-4211
Mailing Address - Street 1:1414 CANADIEN GEESE CT
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-7062
Mailing Address - Country:US
Mailing Address - Phone:301-741-4211
Mailing Address - Fax:
Practice Address - Street 1:1414 CANADIEN GEESE CT
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-7062
Practice Address - Country:US
Practice Address - Phone:301-741-4211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-14
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care