MEDICARE: FAMILY CHOICE, 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	:	1942492012
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY CHOICE, INC

Provider Business Mailing Address
First Line	:	1251 E DOROTHY LN
Second Line	:
City	:	KETTERING
State	:	OH
Zip	:	45419-2106
Country	:	US
Telephone Number	:	937-298-1111
Fax Number	:	937-298-7210

Provider Business Practice Location Address
First Line	:	1251 E DOROTHY LN
Second Line	:
City	:	KETTERING
State	:	OH
Zip	:	45419-2106
Country	:	US
Telephone Number	:	937-298-1111
Fax Number	:	937-298-7210

Authorized Official
Title or Position	:	CEO
Name	:	WARREN D GANZSARTO
Credential	:
Telephone Number	:	937-298-1111

Provider Enumeration Date	:	08/13/2007
Last Update Date	:	08/13/2007

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Directions to “FAMILY CHOICE, INC ” Practice Location

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