Provider Demographics
NPI:1104067388
Name:S-CHOICELLC
Entity type:Organization
Organization Name:S-CHOICELLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KUMASI
Authorized Official - Middle Name:RAHIEM
Authorized Official - Last Name:STALLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-398-4455
Mailing Address - Street 1:4309 CHIMNEY STONE RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-6413
Mailing Address - Country:US
Mailing Address - Phone:919-398-4455
Mailing Address - Fax:
Practice Address - Street 1:4309 CHIMNEY STONE RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-6413
Practice Address - Country:US
Practice Address - Phone:919-398-4455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care