Choices for Life Foster Care, Inc.

Organization Active NPI Community/Behavioral Health Agency · Checotah, OK

NPI 1346300027 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1346300027
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
K8600134 (OK)
Legal business name
CHOICES FOR LIFE FOSTER CARE, INC.
Practice address
229 W Gentry Ave
Checotah, OK 74426-2439
Phone
(918) 473-1575
Fax
(918) 473-3185
NPI assigned
Dec 11, 2006
Organization subpart
No

Authorized official

Name
Mr. Douglas Charles Fellrath, ATTORNEY
Title
Ceo
Phone
(405) 751-0800

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Choices for Life (6 organizations share this tax ID)

Locations

229 W Gentry Ave
Checotah, OK 74426
Phone (918) 360-3492

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X K8600134 OK Yes

Addresses

Primary practice location

229 W Gentry Ave
Checotah, OK 74426-2439

Mailing address

4101 Perimeter Center Dr
Suite 250
Oklahoma City, OK 73112-2302
Phone (405) 751-0800

Other names

  • Choices For Life Checotah Other name

Other providers in Checotah, OK

All providers in Checotah, OK · Community/Behavioral Health Agency in Oklahoma

Sources for this page

Verify at the official NPI Registry.