Ant Mary'S Family Care #2
Organization Active NPI Adult Care Home Facility · La Grange, NC
NPI 1386769040 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1386769040
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- License
- FCL054046 (NC)
- Legal business name
- ANT MARY'S FAMILY CARE #2
- Practice address
- 6198 Washington St
La Grange, NC 28551-6823 - Phone
- (252) 566-2933
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Eula Britt
- Title
- Owner
- Phone
- (252) 566-2933
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Ant Mary'S Family Care
Locations
6198 Washington St
La Grange, NC 28551
Phone (252) 566-2933
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | FCL054046 | NC | Yes |
Addresses
Primary practice location
6198 Washington St
La Grange, NC 28551-6823
Mailing address
PO Box 516
La Grange, NC 28551-0516
Phone (252) 566-2933
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7805045 | Medicaid | NC |
Other providers in La Grange, NC
- Advantage Care of North Carolina, LLC
- Ant Mary'S Family Care
- Ant Marys Family Care Inc
- Jennifer Casey Baker
- Bellas Care LLC
- Birch LTC Group, LLC
- Cecil Raymond Burke III
All providers in La Grange, NC · Adult Care Home Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.