# ANT MARYS FAMILY CARE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Ant Marys Family Care Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023298718
- **Authorized official:** EULA MAE CONYERS (OWNER)
- **Authorized official phone:** (919) 344-9903

## Contact information

- **Practice address:** 3713 ED HERRING RD, LA GRANGE, NC 28551-8331
- **Practice address phone:** (919) 344-9903
- **Practice address fax:** (252) 566-3598
- **Mailing address:** PO BOX 516, LA GRANGE, NC 28551-0516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL054059 | NC | Yes |

## Other

- **Enumeration date:** 11/09/2007
- **Last updated:** 02/28/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | FCL054059 | — | NC |