# ANN'S FAMILY CARE HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538285317
- **Authorized official:** MARY ANN CRANDELL (ADMINISTRATOR)
- **Authorized official phone:** (919) 790-7663

## Contact information

- **Practice address:** 4406 OLD WAKE FOREST RD, 214, RALEIGH, NC 27609-2527
- **Practice address phone:** (919) 790-7663
- **Practice address fax:** (919) 790-7139
- **Mailing address:** 4406 OLD WAKE FOREST RD, SUITE 209, RALEIGH, NC 27609-2527
- **Mailing address phone:** (919) 790-7663
- **Mailing address fax:** (919) 790-7139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-092-084 | NC | Yes |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 07/11/2007
