Healthcare Provider Details

I. General information

NPI: 1659505477
Provider Name (Legal Business Name): FIRST CHOICE HOME CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2009
Last Update Date: 05/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 CARTHAGE ST
SANFORD NC
27330-4105
US

IV. Provider business mailing address

1754 E 11TH ST SUITE B
SILER CITY NC
27344-2820
US

V. Phone/Fax

Practice location:
  • Phone: 919-775-3306
  • Fax: 919-775-6056
Mailing address:
  • Phone: 919-775-3306
  • Fax: 919-775-6056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberHC2070
License Number StateNC

VIII. Authorized Official

Name: MRS. SANDRA L BRIDGES
Title or Position: DIRECTOR
Credential: RN
Phone: 919-775-3306