Organization
CENTENNIAL HOUSING & COMMUNITY SERVICES CORPORATION
Active
Other names
PLYMOUTH PRIMARY CARE RURAL HEALTH CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK T AVIGNONE IV (CEO)
(214) 502-9624
Entity
Organization
Contact information
Practice address
795 US HIGHWAY 64 E, PLYMOUTH, NC 27962-9314
(252) 793-4500
(252) 793-7336
Mailing address
7920 BELT LINE RD STE 215, DALLAS, TX 75254-8155
(214) 210-9095
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
06/17/2022
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