NPI | 1093089583 |
---|---|
Doing Business As | SUPREME CHOICE HEALTHCARE |
Entity Type | Organization |
Authorized Contact | NIKISHA WILLIAMS Manager 252-523-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2012-02-29 |
Last Update Date | 2012-02-29 |