Organization
CHOICE PROVIDERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH WILLIAM BASHA JR. (OWNER)
(318) 623-0890
Entity
Organization
Contact information
Practice address
3600 JACKSON ST STE 119, ALEXANDRIA, LA 71303-3096
(318) 484-7310
(318) 484-7374
Mailing address
3600 JACKSON ST STE 119, ALEXANDRIA, LA 71303-3096
(318) 484-7310
(318) 484-7374
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
2203783331
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1802719
—
LA
Enumeration date
06/16/2017
Last updated
07/21/2022
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