Organization
CHOICES RESIDENTIAL GROUP CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANNON L THOMAS SR. (CLINICAL SERVICES DIRECTOR)
(386) 259-4985
Entity
Organization
Contact information
Practice address
667 DELTONA BLVD STE 101, DELTONA, FL 32725-8151
(386) 259-4985
(888) 558-2226
Mailing address
5224 W STATE ROAD 46 # 325, SANFORD, FL 32771-9230
(386) 259-4985
(888) 558-2226
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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