Lillian Shepard
Assisted Living Facility in Mebane, NC. Individual provider (NPI-1).
NPI number1962717033
StatusActive
Last updated in NPPESAug 13, 2010
Details
- NPI
- 1962717033
- Entity type
- Individual (NPI-1)
- Name
- Lillian Shepard
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 13, 2010
- Last updated
- Aug 13, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
3524 Dickey Mill RdMebane, NC 27302-9006
Phone 336-578-8374 · Fax 336-578-0633
Mailing address
3524 Dickey Mill RdMebane, NC 27302-9006
Phone 336-578-8374 · Fax 336-578-0633
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