Organization
PRIMARY CHOICE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEANDRE RAIFORD (OWNER)
(919) 464-6979
Entity
Organization
Contact information
Practice address
197 LYNN DR, CLAYTON, NC 27520-4607
(919) 464-6979
Mailing address
PO BOX 344, WILSONS MILLS, NC 27593-0344
(919) 464-6979
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/12/2022
Last updated
02/24/2025
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