NPI | 1417013897 |
---|---|
Doing Business As | DMA HERITAGE MEADOWS LONG TERM CARE FACILITY |
Entity Type | Organization |
Authorized Contact | CHARLES BRADSHAW Managing Member 919-693-5918 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HAL-039-001) |
Enumeration Date | 2006-12-29 |
Last Update Date | 2020-08-22 |