Provider Demographics
NPI:1396261459
Name:FIRST CHOICE HOME HEALTH & BEHAVIORAL SERVICES LLC
Entity type:Organization
Organization Name:FIRST CHOICE HOME HEALTH & BEHAVIORAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JEFFERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-707-0821
Mailing Address - Street 1:25506 SUNFLOWER SPRINGS CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-8437
Mailing Address - Country:US
Mailing Address - Phone:832-707-0821
Mailing Address - Fax:
Practice Address - Street 1:3308 ELEBASH HL
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-3476
Practice Address - Country:US
Practice Address - Phone:832-707-0821
Practice Address - Fax:832-707-0821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-19
Last Update Date:2017-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty