Organization
CHOICES IN COMMUNITY LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. W THOMAS WEAVER (EXECUTIVE DIRECTOR)
(937) 898-2220
Entity
Organization
Contact information
Practice address
1651 NEEDMORE RD, DAYTON, OH 45414-3801
(937) 898-2220
(937) 898-3553
Mailing address
1651 NEEDMORE ROAD, DAYTON, OH 45414-3851
(937) 898-2220
(937) 898-3553
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5700236
—
OH
Enumeration date
12/13/2006
Last updated
08/22/2020
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