Organization
SAVANNAH HOUSE OF LOVE GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE MAE HOLLOWAY (CEO)
(252) 430-0084
Entity
Organization
Contact information
Practice address
334 PEARL ST, HENDERSON, NC 27536-3639
(252) 430-0084
(252) 430-7732
Mailing address
334 PEARL ST, HENDERSON, NC 27536-3639
(252) 430-0084
(252) 430-7732
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-091-078
NC
Other
Enumeration date
03/30/2007
Last updated
08/22/2020
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