Organization
PEACEHAVEN HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN F. DOBBINS (OWNER)
(336) 244-9565
Entity
Organization
Contact information
Practice address
169 YADKIN VALLEY RD, SUITE 100, ADVANCE, NC 27006-8786
(336) 998-6300
Mailing address
169 YADKIN VALLEY RD, SUITE 100, ADVANCE, NC 27006-8786
(336) 998-6300
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC4519
NC
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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