Healthcare Provider Details

I. General information

NPI: 1629624747
Provider Name (Legal Business Name): FIRST CHOICE HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2019
Last Update Date: 08/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2965 WILDRIDGE DR NW
MASSILLON OH
44646-2458
US

IV. Provider business mailing address

2965 WILDRIDGE DR NW
MASSILLON OH
44646-2458
US

V. Phone/Fax

Practice location:
  • Phone: 330-208-8912
  • Fax:
Mailing address:
  • Phone: 330-208-8912
  • Fax:

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: MRS. COURTNEY RENAY ARNOLD
Title or Position: ADMINISTRATOR/OWNER
Credential: LPN
Phone: 330-208-8912