# CHOICES RESIDENTIAL GROUP CARE INC.

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

## Provider details

- **NPI number:** 1609363613
- **Authorized official:** MR. SHANNON L THOMAS SR. (CLINICAL SERVICES DIRECTOR)
- **Authorized official phone:** (386) 259-4985

## Contact information

- **Practice address:** 667 DELTONA BLVD STE 101, DELTONA, FL 32725-8151
- **Practice address phone:** (386) 259-4985
- **Practice address fax:** (888) 558-2226
- **Mailing address:** 5224 W STATE ROAD 46 \# 325, SANFORD, FL 32771-9230
- **Mailing address phone:** (386) 259-4985
- **Mailing address fax:** (888) 558-2226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/16/2018
- **Last updated:** 04/16/2018