Crystal Meadows Estates, LLC
Crystal Meadows Estates, LLC is a Mental Illness Intermediate Care Facility in Wilmington, North Carolina. Registered with an NPI since 2013.
- In the registry since
- 2013
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4173 Hearthside Drive 104Wilmington, NC 28412-8335
Phone: (954) 479-9856
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X |
|---|---|
| Mental Illness Intermediate Care Facility | Taxonomy 310500000X |
Record details
| NPI number | 1700128428 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Johnathaun Lee — Owner · (954) 479-9856 |
| NPI enumerated | March 20, 2013 |
| Last updated in NPPES | March 20, 2013 |
| Mailing address | 4173 Hearthside Drive, 104, Wilmington, NC 28412-8335 |