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Organization
CHOICE OF LIFE, LLC
Active
Organization
CHOICE OF LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA R. BRYANT PRACTICAL NURSE (EXECUTIVE DIRECTOR)
(215) 501-3129
Entity
Organization
Contact information
Practice address
5837 E. ROOSEVELT BLVD, PHILADELPHIA, PA 19149-3726
(215) 501-3129
Mailing address
5837 ROOSEVELT BLVD, PHILADELPHIA, PA 19149-3726
(215) 501-3129
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
163WH0200X
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163WH0200X
—
PA
Enumeration date
03/13/2017
Last updated
04/14/2017
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