Provider Demographics
NPI:1972993830
Name:MY BEST CHOICE LLC
Entity type:Organization
Organization Name:MY BEST CHOICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NESTOR
Authorized Official - Middle Name:J
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-394-8573
Mailing Address - Street 1:710 W HISTORIC MITCHELL ST
Mailing Address - Street 2:UNIT 602
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53204-3556
Mailing Address - Country:US
Mailing Address - Phone:414-394-8573
Mailing Address - Fax:
Practice Address - Street 1:710 W HISTORIC MITCHELL ST
Practice Address - Street 2:UNIT 602
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53204-3556
Practice Address - Country:US
Practice Address - Phone:414-394-8573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-30
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health