Provider Demographics
NPI:1962713446
Name:FIRST CHOICE HEALTHCARE SERVICES
Entity type:Organization
Organization Name:FIRST CHOICE HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CELESTINA
Authorized Official - Middle Name:O
Authorized Official - Last Name:NWEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-855-2279
Mailing Address - Street 1:6713 CREEK BND
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-4520
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6713 CREEK BND
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75089-4520
Practice Address - Country:US
Practice Address - Phone:469-855-2279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-29
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management