Provider Demographics
NPI:1538444047
Name:CHOICE LIVING
Entity type:Organization
Organization Name:CHOICE LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DELMONICA
Authorized Official - Middle Name:ANWAR KIM
Authorized Official - Last Name:MCFARLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-209-1645
Mailing Address - Street 1:16014 PIN OAK RIDGE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073-5632
Mailing Address - Country:US
Mailing Address - Phone:281-209-1645
Mailing Address - Fax:
Practice Address - Street 1:16014 PIN OAK RIDGE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-5632
Practice Address - Country:US
Practice Address - Phone:281-209-1645
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-15
Last Update Date:2011-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health