Provider Demographics
NPI:1215195052
Name:A C MEADOWS
Entity Type:Organization
Organization Name:A C MEADOWS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:MEADOWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-878-1415
Mailing Address - Street 1:2121 MARTIN LUTHER KING JR DR
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31701-4101
Mailing Address - Country:US
Mailing Address - Phone:229-878-1415
Mailing Address - Fax:229-878-1417
Practice Address - Street 1:2121 MARTIN LUTHER KING JR DR BLDG B
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-4112
Practice Address - Country:US
Practice Address - Phone:229-878-1415
Practice Address - Fax:229-878-1417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAK536292310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility