Doctor Name: | LILLIAN SHEPARD |
NPI Number: | 1962717033 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 3524 Dickey Mill Rd Mebane, NC - 273029006 |
Business Phone Number: | 3365788374 |
Business Fax Number: | 3365780633 |
Mailing Address: | 3524 Dickey Mill Rd, MEBANE |
State: | NC |
Postal Code: | 273029006 |
Phone Number: | 3365788374 |
Fax Number: | 3365780633 |
NPI Enumeration Date: | 08/13/2010 |
NPI Last Update Date: | 08/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |