Organization
ANT MARY'S FAMILY CARE #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EULA BRITT (OWNER)
(252) 566-2933
Entity
Organization
Contact information
Practice address
6198 WASHINGTON ST, LA GRANGE, NC 28551-6823
(252) 566-2933
Mailing address
PO BOX 516, LA GRANGE, NC 28551-0516
(252) 566-2933
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL054046
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805045
—
NC
Enumeration date
03/20/2007
Last updated
08/22/2020
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