# LITTLE FAMILY CARE HOME, LLC

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

## Provider details

- **NPI number:** 1891201042
- **Authorized official:** MISS TONDRA ANJANETTE LITTLE (ADMINISTRATOR)
- **Authorized official phone:** (984) 227-2543

## Contact information

- **Practice address:** 1012 DAVINCI STREET, DURHAM, NC 27704
- **Practice address phone:** (984) 227-2543
- **Practice address fax:** (984) 219-6264
- **Mailing address:** PO BOX 16014, DURHAM, NC 27704-1014
- **Mailing address phone:** (984) 227-2543
- **Mailing address fax:** (984) 219-6264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-032459 | NC | Yes |

## Other

- **Enumeration date:** 12/26/2017
- **Last updated:** 12/26/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1033625702 | — | NC |