Provider Demographics
NPI:1770935124
Name:BEST CHOICE
Entity type:Organization
Organization Name:BEST CHOICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SERVICE FACILITATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:UNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-330-9811
Mailing Address - Street 1:130 SMITH RUCKER RD APT B
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-8472
Mailing Address - Country:US
Mailing Address - Phone:413-330-9811
Mailing Address - Fax:
Practice Address - Street 1:130 SMITH RUCKER RD APT B
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-8472
Practice Address - Country:US
Practice Address - Phone:413-330-9811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management