Organization
PERSON CENTERED CHOICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBIN LATHAM (EXECUTIVE DIRECTOR)
(423) 525-5101
Entity
Organization
Contact information
Practice address
615 W. MAIN ST., STE. 204, GREENEVILLE, TN 37743
(423) 525-5101
(423) 525-4938
Mailing address
615 W MAIN ST., STE. 204, GREENEVILLE, TN 37743
(423) 525-5101
(423) 525-4938
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3747A0650X
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3747A0650X
—
TN
05
—
376J00000X
—
TN
05
—
376K00000X
—
TN
Enumeration date
04/01/2013
Last updated
05/16/2014
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