Organization
INTEGRATED LIFE CHOICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA L MIDGETT (CEO)
(402) 742-0311
Entity
Organization
Contact information
Practice address
13627 POPLAR CIR STE 104, CONROE, TX 77304-2219
(402) 742-0311
Mailing address
13627 POPLAR CIR STE 104, CONROE, TX 77304-2219
(402) 742-0311
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
59388
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20792877
—
NE
05
—
41596728
—
NE
05
—
51835644
—
NE
05
—
93038983
—
NE
05
—
95891857
—
NE
Enumeration date
04/05/2017
Last updated
03/22/2023
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