MEDICARE: FIRST CHOICE HOME CARE 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1790323079
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST CHOICE HOME CARE LLC

Provider Business Mailing Address
First Line	:	7508 GLADE DR
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-1747
Country	:	US
Telephone Number	:	706-289-0132
Fax Number	:

Provider Business Practice Location Address
First Line	:	7508 GLADE DR
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-1747
Country	:	US
Telephone Number	:	706-289-0132
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LISLYN DUNCAN
Credential	:
Telephone Number	:	240-766-7967

Provider Enumeration Date	:	12/17/2019
Last Update Date	:	01/05/2022

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