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
3207 O' HENRY BLVD N, GREENSBORO, NC 27405-3807
(336) 375-1078
(336) 375-0046
Mailing address
PO BOX 14596, GREENSBORO, NC 27415-4596
(336) 375-1078
(336) 375-0046
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
MHL041790
NC
311ZA0620X
Adult Care Home Facility
MHL041790
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805851
—
NC
Enumeration date
10/05/2007
Last updated
10/05/2007
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