Organization
BULLOCK CORPORATION
Active
Other names
Mecklenburg House
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE B BIRLEY (PRESIDENT)
(804) 333-1590
Entity
Organization
Contact information
Practice address
8535 HIGHWAY ONE, SOUTH HILL, VA 23970-5713
(434) 689-2291
Mailing address
PO BOX 249, WARSAW, VA 22572-0249
(804) 333-1590
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALF-14-22551
VA
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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