Provider Demographics
NPI:1932889649
Name:CHOICES SUPPORT SERVICES, LLC
Entity Type:Organization
Organization Name:CHOICES SUPPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PORSCHA
Authorized Official - Middle Name:
Authorized Official - Last Name:FAUSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-503-3389
Mailing Address - Street 1:7400 BEAUFONT SPRING DR STE 300
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-5519
Mailing Address - Country:US
Mailing Address - Phone:804-503-3389
Mailing Address - Fax:
Practice Address - Street 1:7400 BEAUFONT SPRING DR STE 300
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23225-5519
Practice Address - Country:US
Practice Address - Phone:804-503-3389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty