Provider Demographics
NPI:1235295734
Name:BRENDEX RENEA LEE MEEKS
Entity Type:Organization
Organization Name:BRENDEX RENEA LEE MEEKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENDEX
Authorized Official - Middle Name:RENEA
Authorized Official - Last Name:MEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-390-4429
Mailing Address - Street 1:PO BOX 1383
Mailing Address - Street 2:
Mailing Address - City:WENDELL
Mailing Address - State:NC
Mailing Address - Zip Code:27591-1383
Mailing Address - Country:US
Mailing Address - Phone:919-266-2003
Mailing Address - Fax:919-266-0301
Practice Address - Street 1:313 W SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:ZEBULON
Practice Address - State:NC
Practice Address - Zip Code:27597-2530
Practice Address - Country:US
Practice Address - Phone:919-404-2426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-092-5733104A0625X
NCMHL-092-4883104A0625X
NCMHL-092-6633104A0625X
3104A0625X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness