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Organization
SHIRLEY MEADOWS
Active
Organization
SHIRLEY MEADOWS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNON SIMPSON (MANAGING MEMBER)
(336) 939-9934
Entity
Organization
Contact information
Practice address
247 KYLE MAC WAY RD, RUFFIN, NC 27326-9602
(336) 939-9934
Mailing address
247 KYLE MAC WAY RD, RUFFIN, NC 27326-9602
(336) 939-9934
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
347C00000X
Private Vehicle
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
12/11/2009
Last updated
12/11/2009
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