Organization
HOMECHOICE COMPANIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY STANLEY (ADMINISTRATOR)
(919) 863-4167
Entity
Organization
Contact information
Practice address
2501 BLUE RIDGE RD, SUITE 150, RALEIGH, NC 27607-6479
(919) 863-4167
(919) 863-4158
Mailing address
2501 BLUE RIDGE RD, SUITE 150, RALEIGH, NC 27607-6479
(919) 863-4167
(919) 863-4158
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3330
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418085
—
NC
05
—
6601456
—
NC
Enumeration date
01/12/2007
Last updated
08/22/2020
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