Organization
COMMUNITY CARE CENTER OF HAYWOOD #1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FAYE OWEN (ADMINISTRATOR)
(828) 452-0238
Entity
Organization
Contact information
Practice address
39 LOVING WAY, CLYDE, NC 28721-9471
(828) 452-0238
(828) 452-5473
Mailing address
39 LOVING WAY, CLYDE, NC 28721-9471
(828) 452-0238
(828) 452-5473
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL044004
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802622
—
NC
Enumeration date
03/29/2007
Last updated
08/22/2020
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