Organization
CHOICES GROUP HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR VEGA (OWNER)
(252) 244-4263
Entity
Organization
Contact information
Practice address
897 STATE CAMP RD, VANCEBORO, NC 28586-8451
(252) 244-4263
Mailing address
897 STATE CAMP RD, VANCEBORO, NC 28586-8451
(252) 244-4263
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-025-206
NC
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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