Organization
1ST CHOICE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHIPPY LAVACHE (CEO)
(864) 990-7176
Entity
Organization
Contact information
Practice address
405 PARKER IVEY DR, GREENVILLE, SC 29607-6513
(864) 990-7176
(800) 418-7133
Mailing address
405 PARKER IVEY DR, GREENVILLE, SC 29607-6513
(864) 990-7176
(800) 418-7133
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302782
—
NC
Enumeration date
01/06/2016
Last updated
01/06/2016
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