# BOYD'S REST HOME

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

## Provider details

- **NPI number:** 1962536672
- **Authorized official:** ANN DAVIS (ADMINISTRATOR)
- **Authorized official phone:** (252) 257-3513

## Contact information

- **Practice address:** 295 CARROLL TOWN RD, MACON, NC 27551-9292
- **Practice address phone:** (252) 257-3513
- **Mailing address:** 295 CARROLL TOWN RD, MACON, NC 27551-9292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-093001 | NC | — |
| 311ZA0620X | Adult Care Home Facility | HAL-093001 | NC | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7801778 | — | NC |
| 05 | — | 7802700 | — | NC |