Healthcare Provider Details

I. General information

NPI: 1831568997
Provider Name (Legal Business Name): FIRST CHOICE STAFFING AGENCY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2015
Last Update Date: 09/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 S. 25TH ST.
SAGINAW MI
48601
US

IV. Provider business mailing address

339 S. 25TH ST.
SAGINAW MI
48601
US

V. Phone/Fax

Practice location:
  • Phone: 989-890-1659
  • Fax:
Mailing address:
  • Phone: 989-890-1659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LAKISHA SHANTAYE ADAMS
Title or Position: MANAGER
Credential: CENA
Phone: 989-890-1659