Healthcare Provider Details

I. General information

NPI: 1265476030
Provider Name (Legal Business Name): CHOICE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 LOMAS BLVD NE
ALBUQUERQUE NM
87102-2349
US

IV. Provider business mailing address

PO BOX 25784
ALBUQUERQUE NM
87125-0784
US

V. Phone/Fax

Practice location:
  • Phone: 505-255-4971
  • Fax: 505-255-4977
Mailing address:
  • Phone: 505-255-4971
  • Fax: 505-255-4977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: PAULA WHITLEY
Title or Position: CFO
Credential:
Phone: 505-255-4971