Healthcare Provider Details
I. General information
NPI: 1700610524
Provider Name (Legal Business Name): CHOYCE CARES 4 U
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2024
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4200 FASHION SQUARE BLVD STE 201
SAGINAW MI
48603-1375
US
IV. Provider business mailing address
4200 FASHION SQUARE BLVD STE 201
SAGINAW MI
48603-1375
US
V. Phone/Fax
- Phone: 989-717-3204
- Fax:
- Phone: 989-717-3204
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 177F00000X |
| Taxonomy | Lodging Provider |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOHNNIE
MAE
NOWELLS-BONDS
Title or Position: CEO
Credential:
Phone: 616-856-3922