# QUEEN'S RETIREMENT HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174642219
- **Authorized official:** MS. BETTY MESSER (ADMINISTRATOR)
- **Authorized official phone:** (828) 456-9240

## Contact information

- **Practice address:** 465 BOYD AVE, WAYNESVILLE, NC 28786-4317
- **Practice address phone:** (828) 456-9240
- **Practice address fax:** (828) 456-9012
- **Mailing address:** 465 BOYD AVE, WAYNESVILLE, NC 28786-4317
- **Mailing address phone:** (828) 456-9240
- **Mailing address fax:** (828) 456-9012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | HAL044013 | NC | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7802029 | — | NC |