MEDICARE: 1ST CHOICE RESOURCES INC

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	:	1922412998
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1ST CHOICE RESOURCES INC

Provider Business Mailing Address
First Line	:	2902 S BUCKNER BLVD
Second Line	:	SUITE 300
City	:	DALLAS
State	:	TX
Zip	:	75227-6951
Country	:	US
Telephone Number	:	214-575-5122
Fax Number	:

Provider Business Practice Location Address
First Line	:	2902 S BUCKNER BLVD
Second Line	:	SUITE 300
City	:	DALLAS
State	:	TX
Zip	:	75227
Country	:	US
Telephone Number	:	214-575-5122
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	VICKY MICHAELS-KNARR
Credential	:
Telephone Number	:	214-575-5122

Provider Enumeration Date	:	06/17/2014
Last Update Date	:	06/06/2018

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