Healthcare Provider Details

I. General information

NPI: 1902357957
Provider Name (Legal Business Name): CHOICES NETWORK SYSTEMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2016
Last Update Date: 12/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 NW 6TH ST
POMPANO BEACH FL
33069-2214
US

IV. Provider business mailing address

2300 NW 6TH ST
POMPANO BEACH FL
33069-2214
US

V. Phone/Fax

Practice location:
  • Phone: 954-968-6777
  • Fax:
Mailing address:
  • Phone: 954-968-6777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. ANGELA DEAL
Title or Position: VP/COO
Credential:
Phone: 954-968-6777