Organization
LIFES CHOICES L.L.C
Active
Other names
1ST CHOICE
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA WHITE (LICENSEE)
(917) 676-9966
Entity
Organization
Contact information
Practice address
1824 STARR KING CT, ANTIOCH, CA 94531-9075
(917) 676-9966
Mailing address
1824 STARR KING CT, ANTIOCH, CA 94531-9075
(917) 676-9966
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079201335
—
CA
Enumeration date
03/28/2024
Last updated
03/28/2024
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