Organization
CRANDELL'S ENTERPRISE'S INC.
Active
Other names
Ann's Family Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA MAYO (MANAGER)
(919) 790-7663
Entity
Organization
Contact information
Practice address
5312 SIX FORKS RD, 301, RALEIGH, NC 27609-4458
(919) 790-7663
(919) 790-7139
Mailing address
5312 SIX FORKS RD, 301, RALEIGH, NC 27609-4458
(919) 790-7663
(919) 790-7139
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
FCL-092-084
NC
261QM0850X
Adult Mental Health Clinic/Center
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
06/19/2009
Last updated
03/08/2021
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