Ant Mary's Family Care #1 | |
104 West James Street Ant Mary's Family Care Home #1 Lagrange NC 28551-3770 | |
(919) 344-9903 | |
Not Available |
Full Name | Ant Mary's Family Care #1 |
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Speciality | Clinic/center |
Location | 104 West James Street, Lagrange, North Carolina |
Authorized Official Name and Position | Eula Conyers (OWNER) |
Authorized Official Contact | 9193449903 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ant Mary's Family Care #1 104 West James St. Ant Mary's Family Care Home #1 Lagrange NC 28551-3770 Ph: (919) 344-9903 | Ant Mary's Family Care #1 104 West James Street Ant Mary's Family Care Home #1 Lagrange NC 28551-3770 Ph: (919) 344-9903 |
NPI Number | 1760709364 |
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Provider Enumeration Date | 04/23/2010 |
Last Update Date | 05/04/2010 |
Identifier | Type | State | Issuer |
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1760709364 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | FCL054065 (North Carolina) | Primary |