Provider Demographics
NPI:1871165746
Name:PERMANENT CHOICE
Entity type:Organization
Organization Name:PERMANENT CHOICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:LOSSING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-702-4955
Mailing Address - Street 1:4531 ISLAND VIEW DR
Mailing Address - Street 2:
Mailing Address - City:MOUND
Mailing Address - State:MN
Mailing Address - Zip Code:55364
Mailing Address - Country:US
Mailing Address - Phone:952-898-1111
Mailing Address - Fax:
Practice Address - Street 1:800 PRAIRIE CENTER DR
Practice Address - Street 2:SUITE 110
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344
Practice Address - Country:US
Practice Address - Phone:952-898-1111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty