NPI 1790980548

Green Meadows

Organisation Assisted Living Facility Sikeston, MO

Practice location

Address: 301 N New Madrid St, Sikeston, MO 63801-1971
Phone: (573) 471-5503
Mailing address: PO Box 909, Sikeston, MO 63801-0909

Authorised official

Name: Angela Dawn Hicks-Master
Title: Owner/Authorized Official
Phone: (870) 243-3960

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1790980548
Entity type: Organization
NPI issued: 20 Jun 2007
Record last updated: 6 Nov 2019

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.