Organization
RUSMED1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY MEADOWS (OWNER)
(919) 607-2041
Entity
Organization
Contact information
Practice address
2104 WINNIE PL, RALEIGH, NC 27603-2775
(919) 607-2041
Mailing address
2104 WINNIE PL, RALEIGH, NC 27603-2775
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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