Organization
HAVEN GROUP HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS YVONNE PINDER (EXECUTIVE DIRECTOR)
(336) 375-1078
Entity
Organization
Contact information
Practice address
3209 N OHENRY BLVD, GREENSBORO, NC 27405-3807
(336) 375-1078
(336) 375-0046
Mailing address
3207 N OHENRY BLVD, GREENSBORO, NC 27405-3807
(336) 375-1078
(336) 375-0046
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
MHL-041790
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804964
—
NC
Enumeration date
01/18/2007
Last updated
10/05/2007
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