Home » North Carolina » 28551 » Ant Mary's Family Care Home #3

Ant Mary's Family Care Home #3

Ant Mary's Family Care Home #3 is a health care provider in La Grange, NC. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 3713 Ed Herring Rd, La Grange, NC 28551-8331, US
Practice Location Phone252-566-3700
Practice Location Fax252-566-3598
Legal Business NameANT MARY'S FAMILY CARE HOME #3
NPI ?1023298718
Entity TypeOrganization
Enumeration Date ? Nov 9, 2007
Last Update Date ? Nov 9, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Ant Mary's Family Care Home #3

SpecialtySpecializationLicenseLicense State
Custodial Care FacilityAdult Care Home FCL054059North Carolina

legacy-id-icon Legacy Provider IDs of Ant Mary's Family Care Home #3

Provider IdIssuer StateIssuer TypeIssuer
FCL054059North CarolinaMedicaid

official-icon Authorized Official of Ant Mary's Family Care Home #3

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Ant Mary's Family Care Home #3's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Eula Britt
Authorized Official Title/PositionOWNER
Authorized Official Phone Number252-566-5998