MEDICARE: MERIDIAN MEADOWS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1487517611
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERIDIAN MEADOWS LLC

Provider Business Mailing Address
First Line	:	1201 28TH AVE
Second Line	:
City	:	MERIDIAN
State	:	MS
Zip	:	39301-3810
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 28TH AVE
Second Line	:
City	:	MERIDIAN
State	:	MS
Zip	:	39301-3810
Country	:	US
Telephone Number	:	601-483-1467
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	RUBIN FURER
Credential	:
Telephone Number	:	601-483-1467

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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Directions to “MERIDIAN MEADOWS LLC ” Practice Location

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