OrganizationActive
Stellam Williamson
NPI 1790804417 · Custodial Care Facility · Burlington, NC
Provider details
- NPI number
- 1790804417
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Stella Williamson, Administrator(336) 227-0742
- License
- FCL-001-063 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
426 N Main St
Burlington, NC 27217-3908
Phone: (336) 227-0742
Fax: (336) 227-0742
Approximate (ZIP-level) locationGet directions
Mailing address
203 N Main St Ste 315
Roxboro, NC 27573-5343
Other names (DBA / former)
- Doing business as
- Lm & S Adult Care # 2
Registry dates
- Enumerated
- 2007-03-28
- Last updated
- 2008-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.