Healthcare Provider Details

I. General information

NPI: 1245520972
Provider Name (Legal Business Name): CHOICE ONE INVESTMENTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2011
Last Update Date: 04/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25140 WAYCROSS
SOUTHFIELD MI
48033-2232
US

IV. Provider business mailing address

4329 SPRUCE ST
INKSTER MI
48141-2925
US

V. Phone/Fax

Practice location:
  • Phone: 248-799-0891
  • Fax: 248-799-0961
Mailing address:
  • Phone: 248-799-0891
  • Fax: 248-799-0961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License NumberAS630300566
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License NumberAS630300566
License Number StateMI

VIII. Authorized Official

Name: MISS DELMA NORRIS
Title or Position: LICENSEE/ADMINISTATOR
Credential: LPN
Phone: 248-799-0891