Provider Demographics
NPI:1144538851
Name:A FAMILY'S CHOICE HOME & HEALTHCARE SERVICES, INC.
Entity type:Organization
Organization Name:A FAMILY'S CHOICE HOME & HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:DANIEAL
Authorized Official - Middle Name:
Authorized Official - Last Name:AVERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-809-7213
Mailing Address - Street 1:3117 POPLARWOOD CT
Mailing Address - Street 2:SUITE 114
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-1009
Mailing Address - Country:US
Mailing Address - Phone:919-809-7213
Mailing Address - Fax:919-878-6770
Practice Address - Street 1:3117 POPLARWOOD CT
Practice Address - Street 2:SUITE 114
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-1009
Practice Address - Country:US
Practice Address - Phone:919-809-7213
Practice Address - Fax:919-878-6770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4171253Z00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care