Provider Demographics
NPI:1902131113
Name:CHOICE INDEPENDENT LIVING INCORPORATED
Entity Type:Organization
Organization Name:CHOICE INDEPENDENT LIVING INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ULOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIAKWELU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-423-4472
Mailing Address - Street 1:5903 BERKSHIRE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-8948
Mailing Address - Country:US
Mailing Address - Phone:281-238-0536
Mailing Address - Fax:281-238-0536
Practice Address - Street 1:5903 BERKSHIRE RIDGE DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479
Practice Address - Country:US
Practice Address - Phone:281-238-0536
Practice Address - Fax:281-238-0536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-05
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management