Organization
OAK HAVEN ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN W SIMMS (PARTNER)
(252) 560-5595
Entity
Organization
Contact information
Practice address
506 MATTOX RD, GREENVILLE, NC 27834-9107
(252) 752-9210
(252) 752-3610
Mailing address
PO BOX 1943, GREENVILLE, NC 27835-1943
(252) 752-9210
(252) 752-3610
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL074032
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805506
—
NC
Enumeration date
01/29/2007
Last updated
06/30/2008
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