# THE HAVEN

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

## Provider details

- **NPI number:** 1598946873
- **Authorized official:** MS. GWENDOLYN GULLEY (OWNER)
- **Authorized official phone:** (919) 269-9524

## Contact information

- **Practice address:** 310 W HORTON ST, ZEBULON, NC 27597-2520
- **Practice address phone:** (919) 269-9524
- **Mailing address:** PO BOX 1377, ZEBULON, NC 27597-1377
- **Mailing address phone:** (919) 269-9524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-092-054 | NC | Yes |

## Other

- **Enumeration date:** 11/15/2007
- **Last updated:** 11/15/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7803184 | — | NC |