Provider Demographics
NPI:1659029130
Name:MEADE ASSOCIATION OF REMARKABLE CITIZENS
Entity Type:Organization
Organization Name:MEADE ASSOCIATION OF REMARKABLE CITIZENS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILL
Authorized Official - Middle Name:T
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-668-3344
Mailing Address - Street 1:234 REBECCA CT
Mailing Address - Street 2:
Mailing Address - City:BRANDENBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40108-9790
Mailing Address - Country:US
Mailing Address - Phone:270-668-3344
Mailing Address - Fax:
Practice Address - Street 1:1910 BRANDENBURG RD
Practice Address - Street 2:
Practice Address - City:BRANDENBURG
Practice Address - State:KY
Practice Address - Zip Code:40108-9342
Practice Address - Country:US
Practice Address - Phone:270-422-5335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility