Organization
PINE VALLEY ADULT CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARETTA ROBINSON (ADMINISTATOR)
(910) 527-9898
Entity
Organization
Contact information
Practice address
3522 CAMDEN RD, FAYETTEVILLE, NC 28306-7717
(910) 425-8954
Mailing address
PO BOX 35534, FAYETTEVILLE, NC 28303-0534
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
HAL 026048
NC
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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