Healthcare Provider Details

I. General information

NPI: 1326208679
Provider Name (Legal Business Name): RCHOICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2008
Last Update Date: 06/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 NORTHWOOD DR
DELAWARE OH
43015-1534
US

IV. Provider business mailing address

181 NORTHWOOD DR
DELAWARE OH
43015-1534
US

V. Phone/Fax

Practice location:
  • Phone: 740-751-9883
  • Fax: 740-943-2973
Mailing address:
  • Phone: 740-751-9883
  • Fax: 740-943-2973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number2802720
License Number StateOH

VIII. Authorized Official

Name: MRS. JOYCE I GOMBARCIK
Title or Position: CO-OWNER
Credential:
Phone: 740-751-9883