Organization
A PRIMARY CHOICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THAD DAVIS (CEO)
(910) 865-3500
Entity
Organization
Contact information
Practice address
106 S LEE ST, WHITEVILLE, NC 28472-4028
(910) 642-9900
Mailing address
PO BOX 159, SAINT PAULS, NC 28384-0159
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4522
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6602405
—
NC
Enumeration date
11/15/2012
Last updated
10/25/2016
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