Organization
MEADOWWOODS ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MITTIE B FULLER (ADMINISTRATOR-OWNER)
(336) 684-2282
Entity
Organization
Contact information
Practice address
301 HOMEWOOD AVE, BURLINGTON, NC 27217-2839
(336) 228-8838
(336) 228-8838
Mailing address
PO BOX 1996, BURLINGTON, NC 27216-1996
(336) 226-8838
(336) 226-8838
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
FCL-001-092
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804633
—
NC
Enumeration date
02/07/2007
Last updated
08/22/2020
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