# C & J BRADSHAW, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DMA HERITAGE MEADOWS LONG TERM CARE FACILITY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417013897
- **Authorized official:** MR. CHARLES BRADSHAW (MANAGING MEMBER)
- **Authorized official phone:** (919) 693-5918

## Contact information

- **Practice address:** 6659 PRIVATE SCHOOL RD, OXFORD, NC 27565-7601
- **Practice address phone:** (919) 693-5918
- **Mailing address:** 6659 PRIVATE SCHOOL RD, OXFORD, NC 27565-7601
- **Mailing address phone:** (919) 693-5918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | HAL-039-001 | NC | Yes |

## Other

- **Enumeration date:** 12/29/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7803323 | — | NC |