Provider Demographics
NPI:1861128779
Name:MEADOWS II, ALLEN II
Entity type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:
Last Name:MEADOWS II
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 GALLOWAY ST NE APT 516S
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-6435
Mailing Address - Country:US
Mailing Address - Phone:202-277-1222
Mailing Address - Fax:202-517-9192
Practice Address - Street 1:400 GALLOWAY ST NE APT 516S
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-6435
Practice Address - Country:US
Practice Address - Phone:202-277-1222
Practice Address - Fax:202-517-9192
Is Sole Proprietor?:No
Enumeration Date:2022-07-25
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant