Organization
C & J BRADSHAW, LLC
Active
Other names
DMA HERITAGE MEADOWS LONG TERM CARE FACILITY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES BRADSHAW (MANAGING MEMBER)
(919) 693-5918
Entity
Organization
Contact information
Practice address
6659 PRIVATE SCHOOL RD, OXFORD, NC 27565-7601
(919) 693-5918
Mailing address
6659 PRIVATE SCHOOL RD, OXFORD, NC 27565-7601
(919) 693-5918
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL-039-001
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803323
—
NC
Enumeration date
12/29/2006
Last updated
08/22/2020
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