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Organization

ANNS FAMILY CARE #7

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA MAYO (CFO)
(919) 790-7663
Entity
Organization

Contact information

Practice address
101 N PEARTREE LN, RALEIGH, NC 27610-1823
(919) 790-7663
(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
FCL092226
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101
NC
Enumeration date
08/10/2016
Last updated
11/18/2016
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