Organization
MEADOWS PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK DARRYL WILLIAMS (CEO)
(919) 632-1105
Entity
Organization
Contact information
Practice address
8224 LOWELL VALLEY DR, BAHAMA, NC 27503-9775
(919) 477-3120
(919) 471-1460
Mailing address
8224 LOWELL VALLEY DR, BAHAMA, NC 27503-9775
(919) 477-3120
(919) 471-1460
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603863
—
NC
Enumeration date
01/29/2007
Last updated
08/22/2020
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