NPI 1265780035

Home Meadows Services LLC

Organisation Assisted Living Facility (Mental Illness) Gibsonville, NC

Practice location

Address: 605 Whitsett Ave, Gibsonville, NC 27249-2042
Phone: (336) 227-1613
Fax: (336) 227-1613
Mailing address: PO Box 1996, Burlington, NC 27216-1996

Authorised official

Name: Mittie B Fuller
Title: Program Director/Owner
Phone: (336) 227-1613

Registered specialties

Assisted Living Facility (Mental Illness) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0625X Licence MHL-041-1059 (NC)

Other Assisted Living Facility providers in North Carolina →

Registry record

NPI: 1265780035
Entity type: Organization
NPI issued: 27 Aug 2012
Record last updated: 30 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.