# CHOICE MANOR HOME CARE, INC

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

## Provider details

- **NPI number:** 1760789077
- **Authorized official:** PETRA SHAW RN (PRESIDENT)
- **Authorized official phone:** (407) 949-8886

## Contact information

- **Practice address:** 1428 E SEMORAN BLVD STE 110, APOPKA, FL 32703-5674
- **Practice address phone:** (407) 949-8886
- **Practice address fax:** (407) 358-5005
- **Mailing address:** 1428 E SEMORAN BLVD STE 110, APOPKA, FL 32703-5674
- **Mailing address phone:** (407) 949-8886
- **Mailing address fax:** (407) 358-5005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/23/2011
- **Last updated:** 07/30/2012