# LEVAN PLACE

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

## Provider details

- **NPI number:** 1851624910
- **Authorized official:** WENDY PAUL (BOARD SECRETARY)
- **Authorized official phone:** (336) 520-7687

## Contact information

- **Practice address:** 4278 ASHLAND RD, REIDSVILLE, NC 27320-0509
- **Practice address phone:** (336) 520-7687
- **Mailing address:** PO BOX 393, REIDSVILLE, NC 27323-0393
- **Mailing address phone:** (336) 520-7687

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 09/08/2009
- **Last updated:** 06/07/2010