Provider Demographics
NPI:1336952357
Name:THOMAS CHOICE HEALTHCARE PROVIDERS INC
Entity type:Organization
Organization Name:THOMAS CHOICE HEALTHCARE PROVIDERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DSP/FINANCE & RECORDS CUSTOD
Authorized Official - Prefix:
Authorized Official - First Name:FLORIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-622-5259
Mailing Address - Street 1:5707 NW 145TH AVENUE RD
Mailing Address - Street 2:
Mailing Address - City:MORRISTON
Mailing Address - State:FL
Mailing Address - Zip Code:32668-7802
Mailing Address - Country:US
Mailing Address - Phone:352-622-5259
Mailing Address - Fax:352-622-2544
Practice Address - Street 1:5707 NW 145TH AVENUE RD
Practice Address - Street 2:
Practice Address - City:MORRISTON
Practice Address - State:FL
Practice Address - Zip Code:32668-7802
Practice Address - Country:US
Practice Address - Phone:352-622-5259
Practice Address - Fax:352-622-2544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services