NPI 1922369420

1st Choice Care Services LLC

Organisation Exclusive Provider Organization Detroit, MI

Practice location

Address: 17208 Littlefield St, Detroit, MI 48235-4111
Phone: (313) 316-9908
Fax: (248) 559-8141

Authorised official

Name: Connie Lynn Hendrix
Title: Cna.Bls.Cpr.First Aid
Phone: (313) 316-9908

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 302F00000X (MI)

Other Exclusive Provider Organization providers in Michigan →

Registry record

NPI: 1922369420
Entity type: Organization
NPI issued: 31 May 2012
Record last updated: 31 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.