Healthcare Provider Details
I. General information
NPI: 1417954975
Provider Name (Legal Business Name): FIRST CHOICE HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/30/2005
Last Update Date: 10/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
46 7TH ST NW
NORTON VA
24273-1921
US
IV. Provider business mailing address
PO BOX 589
NORTON VA
24273-0589
US
V. Phone/Fax
- Phone: 276-679-7404
- Fax: 276-679-5986
- Phone: 276-679-7404
- Fax: 276-679-5986
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
SHERRY
D.
GILES
Title or Position: ADMINISTRATOR
Credential:
Phone: 276-679-7404