Organization
A PRIMARY CHOICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THAD DAVIS (CHIEF EXECUTIVE OFFICER)
(910) 865-3500
Entity
Organization
Contact information
Practice address
701 E ASH ST, GOLDSBORO, NC 27530-3801
(919) 705-5955
Mailing address
PO BOX 159, SAINT PAULS, NC 28384-0159
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4523
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6602338
—
NC
Enumeration date
03/02/2012
Last updated
06/04/2019
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