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Organization

FIRST CHOICE HOME CARE, LLC

Active
Other names
First Choice Home Care
Organization subpart
No

Provider details

NPI number
Authorized official
JACLYN JONES (OWNER)
(317) 605-2430
Entity
Organization

Contact information

Practice address
9702 E WASHINGTON ST, 137, INDIANAPOLIS, IN 46229-3611
(317) 605-2430
Mailing address
9702 E WASHINGTON ST, 137, INDIANAPOLIS, IN 46229-3611

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
09-012118-1
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200937930
WAIVER
IN
Enumeration date
07/08/2009
Last updated
07/17/2009
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