Organization
ANN'S FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN CRANDELL (ADMINISTRATOR)
(919) 790-7663
Entity
Organization
Contact information
Practice address
4406 OLD WAKE FOREST RD, 214, RALEIGH, NC 27609-2527
(919) 790-7663
(919) 790-7139
Mailing address
4406 OLD WAKE FOREST RD, SUITE 209, RALEIGH, NC 27609-2527
(919) 790-7663
(919) 790-7139
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-092-084
NC
Other
Enumeration date
03/22/2007
Last updated
07/11/2007
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