1St Choice Residential LLC
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Longview, TX
NPI 1972023711 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1972023711
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- 1ST CHOICE RESIDENTIAL LLC
- Practice address
- 500 S Jean Dr
Longview, TX 75602-5343 - Phone
- (903) 471-0589
- Fax
- (903) 708-6217
- NPI assigned
- Jun 22, 2017
- Organization subpart
- No
Authorized official
- Name
- Kristy R Duffie
- Title
- Executive Director
- Phone
- (903) 252-2632
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
500 S Jean Dr
Longview, TX 75602-5343
Mailing address
500 S Jean Dr
Longview, TX 75602-5343
Phone (903) 471-0589
Other practice location 1
510 S Jean Dr
Longview, TX 75602-5343
Phone (903) 471-0589
Other providers in Longview, TX
- 1St Choice Pediatrics
- 2020 Icare Longview PLLC
- 7872 Inc.
- 903 Counseling
- A Beautiful You Health Center, LLC
- A K Fitness Therapy Center
All providers in Longview, TX · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.