Organization
ANT MARYS FAMILY CARE INC
Active
Other names
Ant Marys Family Care Inc
Organization subpart
No
Provider details
NPI number
Authorized official
EULA MAE CONYERS (OWNER)
(919) 344-9903
Entity
Organization
Contact information
Practice address
3713 ED HERRING RD, LA GRANGE, NC 28551-8331
(919) 344-9903
(252) 566-3598
Mailing address
PO BOX 516, LA GRANGE, NC 28551-0516
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL054059
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FCL054059
—
NC
Enumeration date
11/09/2007
Last updated
02/28/2024
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