Provider Demographics
NPI:1164068896
Name:MARIE WEBB'S FAMILY HOME CARE
Entity Type:Organization
Organization Name:MARIE WEBB'S FAMILY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:EZROE
Authorized Official - Middle Name:L
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-880-7190
Mailing Address - Street 1:1186 JONES WHITE RD
Mailing Address - Street 2:
Mailing Address - City:ROPER
Mailing Address - State:NC
Mailing Address - Zip Code:27970-9682
Mailing Address - Country:US
Mailing Address - Phone:919-880-7190
Mailing Address - Fax:919-481-3323
Practice Address - Street 1:1186 JONES WHITE RD
Practice Address - Street 2:
Practice Address - City:ROPER
Practice Address - State:NC
Practice Address - Zip Code:27970-9682
Practice Address - Country:US
Practice Address - Phone:919-880-7190
Practice Address - Fax:919-481-3323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-18
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home