# PINE VALLEY ADULT CARE HOME

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

## Provider details

- **NPI number:** 1982739488
- **Authorized official:** ARETTA ROBINSON (ADMINISTATOR)
- **Authorized official phone:** (910) 527-9898

## Contact information

- **Practice address:** 3522 CAMDEN RD, FAYETTEVILLE, NC 28306-7717
- **Practice address phone:** (910) 425-8954
- **Mailing address:** PO BOX 35534, FAYETTEVILLE, NC 28303-0534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | HAL 026048 | NC | Yes |

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 08/22/2020