Organization
STELLAM WILLIAMSON
Active
Other names
LM & S Adult Care # 2
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STELLA B WILLIAMSON (ADMINISTRATOR)
(336) 227-0742
Entity
Organization
Contact information
Practice address
426 N MAIN ST, BURLINGTON, NC 27217-3908
(336) 227-0742
(336) 227-0742
Mailing address
203 N MAIN ST STE 315, ROXBORO, NC 27573-5343
(336) 599-0375
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
FCL-001-063
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803165
—
NC
Enumeration date
03/28/2007
Last updated
06/26/2008
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