Provider Demographics
NPI:1346501293
Name:A NEW HEALTH CHOICE LLC
Entity Type:Organization
Organization Name:A NEW HEALTH CHOICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:VINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-539-2139
Mailing Address - Street 1:108 COMMERCE STREET
Mailing Address - Street 2:
Mailing Address - City:AULANDER
Mailing Address - State:NC
Mailing Address - Zip Code:27805-7805
Mailing Address - Country:US
Mailing Address - Phone:252-539-2139
Mailing Address - Fax:252-539-2139
Practice Address - Street 1:108 SOUTH COMMERCE STREET
Practice Address - Street 2:
Practice Address - City:AULANDER
Practice Address - State:NC
Practice Address - Zip Code:27805-0681
Practice Address - Country:US
Practice Address - Phone:252-539-2139
Practice Address - Fax:252-539-2139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities