MEDICARE: CHOICE LIVING

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1538444047
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHOICE LIVING

Provider Business Mailing Address
First Line	:	16014 PIN OAK RIDGE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77073-5632
Country	:	US
Telephone Number	:	281-209-1645
Fax Number	:

Provider Business Practice Location Address
First Line	:	16014 PIN OAK RIDGE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77073-5632
Country	:	US
Telephone Number	:	281-209-1645
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR/ADMINISTRATOR
Name	:	MS. DELMONICA ANWAR KIM MCFARLAND
Credential	:
Telephone Number	:	281-209-1645

Provider Enumeration Date	:	10/15/2011
Last Update Date	:	10/15/2011

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Directions to “CHOICE LIVING ” Practice Location

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