ANT MARY'S FAMILY CARE #1

LAGRANGE, NC
NPI1760709364
Entity TypeOrganization
Authorized ContactEULA CONYERS
Owner
919-344-9903
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: NC  FCL054065)
Enumeration Date2010-04-23
Last Update Date2010-05-04
Business Address
ANT MARY'S FAMILY CARE #1
104 WEST JAMES STREET ANT MARY'S FAMILY CARE HOME #1
LAGRANGE, NC 28551-3770
Phone number: 919-344-9903
Mailing Address
ANT MARY'S FAMILY CARE #1
104 WEST JAMES ST. ANT MARY'S FAMILY CARE HOME #1
LAGRANGE, NC 28551-3770
Phone number: 919-344-9903