# SAVANNAH HOUSE OF LOVE GROUP HOME

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

## Provider details

- **NPI number:** 1770603920
- **Authorized official:** WILLIE MAE HOLLOWAY (CEO)
- **Authorized official phone:** (252) 430-0084

## Contact information

- **Practice address:** 334 PEARL ST, HENDERSON, NC 27536-3639
- **Practice address phone:** (252) 430-0084
- **Practice address fax:** (252) 430-7732
- **Mailing address:** 334 PEARL ST, HENDERSON, NC 27536-3639
- **Mailing address phone:** (252) 430-0084
- **Mailing address fax:** (252) 430-7732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-091-078 | NC | Yes |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 08/22/2020