Organization · NPI-2

1st Choice Consumer Directed Services, INC.

In Home Supportive Care · Phoenix, AZ

NPI number1639764459

StatusActive

Last updated in NPPESMar 3, 2021

Details

NPI: 1639764459
Entity type: Organization (NPI-2)
Legal business name: 1st Choice Consumer Directed Services, INC.
Organization subpart: No
Enumeration date: Mar 3, 2021
Certification date: Mar 3, 2021
Last updated: Mar 3, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
253Z00000X	In Home Supportive Care	–	–	Yes

Practice location

21725 N 20th Ave
Suite 101-102 #1065
Phoenix, AZ 85027-2640

Phone 623-300-1200 · Fax 623-666-6772

Mailing address

21725 N 20th Ave
Suite 101-102 #1065
Phoenix, AZ 85027-2640

Phone 623-300-1200 · Fax 623-666-6772

Authorized official

Alfia Gimadeeva
Cfo
6233001200

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