# ANNS FAMILY CARE \#6

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164873790
- **Authorized official:** MS. SANDRA MAYO (CFO/DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (919) 713-0930

## Contact information

- **Practice address:** 3120 TUCKLAND DR, RALEIGH, NC 27610-5257
- **Practice address phone:** (919) 713-0930
- **Practice address fax:** (919) 790-6990
- **Mailing address:** 5312 SIX FORKS RD STE 301, RALEIGH, NC 27609-4458
- **Mailing address phone:** (919) 713-0930
- **Mailing address fax:** (919) 790-6990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-092-225 | NC | Yes |

## Other

- **Enumeration date:** 06/24/2016
- **Last updated:** 11/18/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3120 | — | NC |
