Provider Demographics
NPI:1518530732
Name:SENIOR CITIZENS CHOICE, LLC
Entity type:Organization
Organization Name:SENIOR CITIZENS CHOICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MILLICENT
Authorized Official - Middle Name:OLIVIA
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-447-4091
Mailing Address - Street 1:6452 BENNINGTON BLUFF CT
Mailing Address - Street 2:
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-7271
Mailing Address - Country:US
Mailing Address - Phone:404-447-4091
Mailing Address - Fax:
Practice Address - Street 1:103 WYOMING ST
Practice Address - Street 2:
Practice Address - City:ADEL
Practice Address - State:GA
Practice Address - Zip Code:31620-5214
Practice Address - Country:US
Practice Address - Phone:229-585-1363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-24
Last Update Date:2021-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health