MEDICARE: RIGHT CHOICE PERSONAL ASSISTANCE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	7931	OK

General Provider Information

NPI Number	:	1235558263
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIGHT CHOICE PERSONAL ASSISTANCE, LLC

Provider Business Mailing Address
First Line	:	908 SW 107TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73170-5244
Country	:	US
Telephone Number	:	405-595-7066
Fax Number	:	405-212-5036

Provider Business Practice Location Address
First Line	:	908 SW 107TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73170-5244
Country	:	US
Telephone Number	:	405-595-7066
Fax Number	:	405-212-5036

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. CHRISTINE MARIE SINGLETON
Credential	:	LPN, ADM.
Telephone Number	:	405-595-7066

Provider Enumeration Date	:	04/07/2014
Last Update Date	:	10/14/2015

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