Provider Demographics
NPI:1659052975
Name:MEGGIES FAMILY CARE HOME LLC
Entity Type:Organization
Organization Name:MEGGIES FAMILY CARE HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:W
Authorized Official - Last Name:WABERA
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:919-452-7818
Mailing Address - Street 1:619 GLENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-8648
Mailing Address - Country:US
Mailing Address - Phone:919-452-7818
Mailing Address - Fax:919-774-7705
Practice Address - Street 1:619 GLENWOOD DR
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-8648
Practice Address - Country:US
Practice Address - Phone:919-452-7818
Practice Address - Fax:919-774-7705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home