Provider Demographics
NPI:1801950696
Name:QUALITY CHOICE,LLC
Entity type:Organization
Organization Name:QUALITY CHOICE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAGNOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-371-1855
Mailing Address - Street 1:4721 20TH ST NW
Mailing Address - Street 2:APT 8
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-2146
Mailing Address - Country:US
Mailing Address - Phone:330-371-1855
Mailing Address - Fax:
Practice Address - Street 1:4721 20TH ST NW APT 8
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-2146
Practice Address - Country:US
Practice Address - Phone:330-371-1855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH8417214590385H00000X
OH52707035385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care