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
509 W BROAD ST, DUNN, NC 28334-4809
(910) 230-3760
Mailing address
PO BOX 159, SAINT PAULS, NC 28384-0159
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4397
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6602239
—
NC
Enumeration date
07/05/2011
Last updated
02/15/2019
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