Organization
COMMUNITY CHOICE HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE J. JEWELL MSN, RN (ADMINISTRATOR)
(740) 574-9900
Entity
Organization
Contact information
Practice address
7318 OHIO RIVER RD, PORTSMOUTH, OH 45662-5665
(740) 574-9900
(740) 574-9064
Mailing address
PO BOX 148, WHEELERSBURG, OH 45694-0148
(740) 574-9900
(740) 574-9064
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084900
—
OH
05
—
2018195
—
OH
Enumeration date
11/19/2005
Last updated
11/14/2024
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