Provider Demographics
NPI:1952725715
Name:LIFE CHOICES UNLIMITED, LLC
Entity Type:Organization
Organization Name:LIFE CHOICES UNLIMITED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:FREUND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-306-9105
Mailing Address - Street 1:3525 QUAKERBRIDGE RD
Mailing Address - Street 2:SUITE 5600
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-1266
Mailing Address - Country:US
Mailing Address - Phone:609-306-9105
Mailing Address - Fax:609-301-8894
Practice Address - Street 1:3525 QUAKERBRIDGE RD
Practice Address - Street 2:SUITE 5600
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-1266
Practice Address - Country:US
Practice Address - Phone:609-306-9105
Practice Address - Fax:609-301-8894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-13
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Single Specialty