- Enrollment id
- O20100225000387
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1992869796
- Multiple npi flag
- N
- Ccn
- 678475
- Associate id
- 7911041140
- Organization name
- FIRST CHOICE HOME HEALTH CARE LLC
- Doing business as name
- FIRST CHOICE HOME HEALTH CARE AGENCY
- Incorporation date
- 1996-06-21
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 106 E FAIN ST
- City
- DUNCANVILLE
- State
- TX
- Zip code
- 751163527