OrganizationChoice Group LlcCommunity/Behavioral HealthAgenciesPractice Address2920 S Jones Blvd Ste 110b, Las Vegas, NV 89146-5395(702) 703-1833PECOS EnrollmentBased on the most recent information from CMS, provider Choice Group Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1720584295Provider TypeOrganizationFull NameChoice Group LlcSubpartNoEnumeration Date4/3/2018Last Updated7/30/2019Contact InformationPractice LocationPractice Address2920 S Jones Blvd Ste 110b, Las Vegas, NV 89146-5395Phone(702) 703-1833FaxUnlisted FaxMailing LocationMailing Address2920 S Jones Blvd Ste 110b, Las Vegas, NV 89146-5395Phone(702) 703-1833FaxUnlisted FaxAuthorized OfficialNameStafford, Khalilah (President)Phone(702) 703-1833Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted Issuer