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ANT MARY'S FAMILY CARE HOME #3

Adult Care Home

La Grange, North Carolina

Provider NPI: 1023298718

Organization Information:
Organization Name:  ANT MARY'S FAMILY CARE HOME #3


Practice Location:
3713 ED HERRING RD  LA GRANGE, NC 28551 US
Tel: 252-566-3700  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
NCFCL054059

Other Provider Identifiers:

IssuerNumberStateType
FCL054059NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS NC - Page 1



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