# COMMUNITY CARE CENTER OF HAYWOOD \#1

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

## Provider details

- **NPI number:** 1790804516
- **Authorized official:** MS. FAYE OWEN (ADMINISTRATOR)
- **Authorized official phone:** (828) 452-0238

## Contact information

- **Practice address:** 39 LOVING WAY, CLYDE, NC 28721-9471
- **Practice address phone:** (828) 452-0238
- **Practice address fax:** (828) 452-5473
- **Mailing address:** 39 LOVING WAY, CLYDE, NC 28721-9471
- **Mailing address phone:** (828) 452-0238
- **Mailing address fax:** (828) 452-5473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | HAL044004 | NC | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7802622 | — | NC |