| NPI | 1558481531 |
|---|---|
| Other Name | VO NC MEADOW WOOD |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WHOBREY Provider Enrollment 502-630-7249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2021-10-22 |