Healthcare Provider Details

I. General information

NPI: 1881637866
Provider Name (Legal Business Name): M.D.'S CHOICE HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 05/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1460 N 5TH ST
SILSBEE TX
77656-3710
US

IV. Provider business mailing address

1460 NORTH 5TH STREET
SILSBEE TX
77656-3710
US

V. Phone/Fax

Practice location:
  • Phone: 409-386-2273
  • Fax: 409-386-2459
Mailing address:
  • Phone: 409-386-2273
  • Fax: 409-386-2459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number009110
License Number StateTX

VIII. Authorized Official

Name: GINGER C JONES
Title or Position: ADMINISTRATOR
Credential:
Phone: 409-386-2273