Organization
MY CHOICE, LLC
Active
Organization
MY CHOICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY MATISAK (PROGRAM DIRECTOR)
(330) 242-6272
Entity
Organization
Contact information
Practice address
12900 SNOW RD, CLEVELAND, OH 44130-1012
(133) 024-2627
Mailing address
1860 MATTINGLY RD, HINCKLEY, OH 44233-9426
(330) 242-6272
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170814
—
OH
Enumeration date
12/18/2020
Last updated
12/18/2020
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