Organization · NPI-2
Shirley Meadows
Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Ruffin, NC
NPI number1811226368
StatusActive
Last updated in NPPESDec 11, 2009
Details
- NPI
- 1811226368
- Entity type
- Organization (NPI-2)
- Legal business name
- Shirley Meadows
- Organization subpart
- No
- Enumeration date
- Dec 11, 2009
- Last updated
- Dec 11, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | |
| 347C00000X | Private Vehicle | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
247 Kyle Mac Way RdRuffin, NC 27326-9602
Phone 336-939-9934
Mailing address
247 Kyle Mac Way RdRuffin, NC 27326-9602
Phone 336-939-9934
Authorized official
Shannon Simpson
Managing Member
3369399934
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