Ant Mary's Family Care Home #3

NPI 1023298718 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1023298718
Enumeration Date 11/09/2007
Last Updated 11/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name EULA EULA
Position OWNER
Phone (252) 566-3700
Fax (252) 566-3598
Practice Location
3713 ED HERRING RD
LA GRANGE NC, 28551-8331, US
Phone (252) 566-3700
Fax (252) 566-3598
Business Location
PO BOX 516
LA GRANGE NC, 28551-0516, US
Phone
Fax
Toxanomy
Taxonomy Code 311ZA0620X
License State North Carolina
License Number FCL054059
Remove 1023298718 NPI Number
 

According to our database, Ant Mary's Family Care Home #3 NPI is 1023298718, taxonomy code is 311ZA0620X and license number is FCL054059, license state is located at North Carolina. Ant Mary's Family Care Home #3 physically located at 3713 Ed Herring Rd, La Grange NC, 28551-8331. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1023298718 NPI number is provided on an as is basis without warranty of any kind. 1023298718 is maintained by the National Plan & Provider Enumeration System. The contents of Ant Mary's Family Care Home #3 are for informational purposes only.