Organization
HAVEN OF LOVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS WHITNEY WILLIAMS (EXECUTIVE DIRECTOR)
(704) 839-1977
Entity
Organization
Contact information
Practice address
1832 BURGANDY DR, CHARLOTTE, NC 28262-4966
(704) 598-2723
(704) 568-7897
Mailing address
10936 GOLD PAN RD, CHARLOTTE, NC 28215-8603
(704) 839-1977
(704) 568-7897
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418612
—
NC
Enumeration date
05/22/2008
Last updated
04/07/2009
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