| Life Choices, Inc. | |
|
156 S Main St Phillipsburg NJ 08865-2827 | |
| (908) 387-0020 | |
| (908) 213-6974 |
| Full Name | Life Choices, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 156 S Main St, Phillipsburg, New Jersey |
| Authorized Official Name and Position | Joan Fasanello (DIRECTOR) |
| Authorized Official Contact | 9082136974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Choices, Inc. 411 S Main St Phillipsburg NJ 08865-3018 Ph: (908) 213-6974 | Life Choices, Inc. 156 S Main St Phillipsburg NJ 08865-2827 Ph: (908) 387-0020 |
| NPI Number | 1457567323 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457567323 | NPI | - | NPPES |
| 0083291 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MB064321 (New Jersey) | Primary |
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