| Organization Name: | MY CHOICE IN-HOME CARE LLC |
| NPI Number: | 1083801963 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JULIE ZIMMERER (OWNER) |
| Mailing Address: | 31610 Railroad Canyon Rd Ste 5 Canyon Lake |
| State: | CA US |
| Postal Code: | 925879454 |
| Phone Number: | 9512447622 |
| Fax Number: | 9512462657 |
| NPI Enumeration Date: | 09/25/2007 |
| NPI Last Update Date: | 09/25/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |