# CHOICE SELECT HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083471171
- **Authorized official:** NIKKI JOHNSON (RN, OWNER)
- **Authorized official phone:** (229) 947-0777

## Contact information

- **Practice address:** 1513 E 13TH AVE APT A, CORDELE, GA 31015-3473
- **Practice address phone:** (229) 947-0777
- **Mailing address:** 1513 E 13TH AVE APT A, CORDELE, GA 31015-3473
- **Mailing address phone:** (229) 947-0777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 03/05/2024
- **Last updated:** 03/05/2024