Provider Demographics
NPI:1356109714
Name:FIRST CHOICE COMMUNITY CARE LLC
Entity type:Organization
Organization Name:FIRST CHOICE COMMUNITY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NAKIA
Authorized Official - Middle Name:REGINA
Authorized Official - Last Name:DONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-541-5633
Mailing Address - Street 1:3058 HIGHWAY 162
Mailing Address - Street 2:
Mailing Address - City:CAMPBELLTON
Mailing Address - State:FL
Mailing Address - Zip Code:32426-7236
Mailing Address - Country:US
Mailing Address - Phone:850-541-5633
Mailing Address - Fax:
Practice Address - Street 1:3058 HIGHWAY 162
Practice Address - Street 2:
Practice Address - City:CAMPBELLTON
Practice Address - State:FL
Practice Address - Zip Code:32426-7236
Practice Address - Country:US
Practice Address - Phone:850-541-5633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health