Ant Mary'S Family Care Home #3 in La Grange - Adult Care Home

Ant Mary'S Family Care Home #3 - NPI 1023298718

Ant Mary'S Family Care Home #3 is a Adult Care Home in La Grange, North Carolina. Ant Mary'S Family Care Home #3 practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Ant Mary'S Family Care Home #3 is 1023298718. The last update date is 2007-11-09.

Ant Mary'S Family Care Home #3's current location address is 3713 Ed Herring Rd, La Grange, North Carolina. You can contact this provider via phone number 2525663700 and fax number 2525663598. The mailing address for Ant Mary'S Family Care Home #3 is 3713 Ed Herring Rd, La Grange, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ant Mary'S Family Care Home #3
Address 3713 Ed Herring Rd, La Grange, North Carolina
Phone Number 2525663700
Fax Number 2525663598
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Britt Eula
Telephone Number 2525665998

NPI Number Detail

NPI Number 1023298718
Provider Enumeration Date 2007-11-09
Last Updated Date 2007-11-09

Provider Mailing Address Detail

Address 3713 Ed Herring Rd
City La Grange
State North Carolina (NC)
Post Code 285518331
Phone Number 2525663700
Fax Number 2525663598

Provider's Primary Taxonomy Detail

Speciality Adult Care Home
Taxonomy 311Za0620X
Licence No FCL054059
Definition:
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like en

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
FCL054059 NC --

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FAQs about Ant Mary'S Family Care Home #3

What is the Ant Mary'S Family Care Home #3's 1023298718?

The Ant Mary'S Family Care Home #3's NPI (National Provider Identifier) Number is 1023298718. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Ant Mary'S Family Care Home #3 located?

The Ant Mary'S Family Care Home #3 is located at 3713 Ed Herring Rd, La Grange, NC 285518331.

What is Ant Mary'S Family Care Home #3's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Ant Mary'S Family Care Home #3 is Adult Care Home, and the taxonomy code that categorizes this field of expertise is 311Za0620X.

On what date did the Ant Mary'S Family Care Home #3 receive its 1023298718 assignment from the Centers for Medicare & Medicaid Services?

The Ant Mary'S Family Care Home #3 was assigned its 1023298718 by the Centers for Medicare & Medicaid Services on 2007-11-09.

As of what date were the Ant Mary'S Family Care Home #3's details last updated?

The information pertaining to the Ant Mary'S Family Care Home #3, including its address, specialty, and other details, was most recently updated on 2007-11-09.

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