Organization
1ST CHOICE RESIDENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY R DUFFIE (EXECUTIVE DIRECTOR)
(903) 252-2632
Entity
Organization
Contact information
Practice address
500 S JEAN DR, LONGVIEW, TX 75602-5343
(903) 471-0589
(903) 708-6217
Mailing address
500 S JEAN DR, LONGVIEW, TX 75602-5343
(903) 471-0589
(903) 708-6217
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/22/2017
Last updated
07/21/2022
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