Healthcare Provider Details

I. General information

NPI: 1801046321
Provider Name (Legal Business Name): RIGHT CHOICE HEALTHCARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2008
Last Update Date: 09/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2061 CHESTNUT HILL CIR
DECATUR GA
30032-6113
US

IV. Provider business mailing address

2061 CHESTNUT HILL CIR
DECATUR GA
30032-6113
US

V. Phone/Fax

Practice location:
  • Phone: 401-983-8442
  • Fax:
Mailing address:
  • Phone: 401-983-8442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL TODD CRAWFORD
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 404-983-8442