Organization
HOME MEADOWS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITTIE B FULLER (PROGRAM DIRECTOR/OWNER)
(336) 227-1613
Entity
Organization
Contact information
Practice address
605 WHITSETT AVE, GIBSONVILLE, NC 27249-2042
(336) 227-1613
(336) 227-1613
Mailing address
PO BOX 1996, BURLINGTON, NC 27216-1996
(336) 227-1613
(336) 227-1613
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
MHL-041-1059
NC
Other
Enumeration date
08/27/2012
Last updated
08/30/2012
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