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
2950 W BROAD ST, ELIZABETHTOWN, NC 28337-7137
(910) 862-3040
Mailing address
PO BOX 159, SAINT PAULS, NC 28384-0159
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6602150
—
NC
Enumeration date
01/12/2011
Last updated
06/04/2019
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