Organization
CHOICES ETC.LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS M BUSH (OWNER/OPERATOR)
(269) 806-8184
Entity
Organization
Contact information
Practice address
545 119TH AVE, MARTIN, MI 49070-9740
(269) 672-2149
(269) 672-2149
Mailing address
545 119TH AVE, MARTIN, MI 49070-9740
(269) 672-2149
(269) 672-2149
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
D4278M
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049746
—
MI
Enumeration date
11/30/2011
Last updated
11/30/2011
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