Provider Demographics
NPI:1932592607
Name:PATIENT'S CHOICE PLUS LLC
Entity type:Organization
Organization Name:PATIENT'S CHOICE PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:DECHAMPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-680-4187
Mailing Address - Street 1:3575 BAY SETTLEMENT RD
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54311-9793
Mailing Address - Country:US
Mailing Address - Phone:920-680-4187
Mailing Address - Fax:
Practice Address - Street 1:3575 BAY SETTLEMENT RD
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54311-9793
Practice Address - Country:US
Practice Address - Phone:920-680-4187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-05
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care