# FIELDS FOUNDATION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669510905
- **Authorized official:** DR. SHIRLEY L. FIELDS DBA (ADMINISTRATOR)
- **Authorized official phone:** (252) 792-6343

## Contact information

- **Practice address:** 1895 GREEN ACRES RD, WILLIAMSTON, NC 27892-8252
- **Practice address phone:** (252) 792-6343
- **Practice address fax:** (252) 792-2881
- **Mailing address:** 1895 GREEN ACRES RD, WILLIAMSTON, NC 27892-8252
- **Mailing address phone:** (252) 792-6343
- **Mailing address fax:** (252) 792-2881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-058-008 | NC | Yes |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 08/22/2020