Provider Demographics
NPI:1427532704
Name:1ST OPTION HEALTHCARE,LLC
Entity type:Organization
Organization Name:1ST OPTION HEALTHCARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:
Authorized Official - Last Name:OWUSU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-676-6903
Mailing Address - Street 1:1810 PEACHTREE INDUSTRIAL BLVD STE 215
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-8177
Mailing Address - Country:US
Mailing Address - Phone:770-676-6903
Mailing Address - Fax:770-676-6877
Practice Address - Street 1:1810 PEACHTREE INDUSTRIAL BLVD STE 215
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-8177
Practice Address - Country:US
Practice Address - Phone:770-676-6903
Practice Address - Fax:770-676-6877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-21
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health