Organization
CHOICE SUPPORTS COORDINATION
Active
Organization
CHOICE SUPPORTS COORDINATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL CHRISTOPHER HOLLERN (PRESIDENT)
(814) 812-0573
Entity
Organization
Contact information
Practice address
2312 W 15TH ST, ERIE, PA 16505-4560
(814) 812-0573
Mailing address
6200 LONGWOOD DR, ERIE, PA 16505-1023
(814) 812-0573
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
Update your record
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