Organization
ANNS FAMILY CARE #6
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA MAYO (CFO/DIRECTOR OF OPERATIONS)
(919) 713-0930
Entity
Organization
Contact information
Practice address
3120 TUCKLAND DR, RALEIGH, NC 27610-5257
(919) 713-0930
(919) 790-6990
Mailing address
5312 SIX FORKS RD STE 301, RALEIGH, NC 27609-4458
(919) 713-0930
(919) 790-6990
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-092-225
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3120
—
NC
Enumeration date
06/24/2016
Last updated
11/18/2016
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