Organization · Type 2 NPI
Ant Mary's Family Care #1
Clinic/Center · Lagrange, NC
Practice location
104 West James Street, Ant Mary's Family Care Home #1
Lagrange, NC 28551-3770
Mailing address
104 West James St., Ant Mary's Family Care Home #1
Lagrange, NC 28551-3770
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | FCL054065 (NC) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1760709364
Ant Mary's Family Care #1's National Provider Identifier is 1760709364, issued on Apr 23, 2010. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lagrange, NC. The record was last updated on May 4, 2010.