Pine Valley Adult Care Home in Fayetteville - Residential Treatment Facility, Physical Disabilities
Pine Valley Adult Care Home - NPI 1982739488
Pine Valley Adult Care Home is a Residential Treatment Facility, Physical Disabilities in Fayetteville, North Carolina. Pine Valley Adult Care Home practices all healthcare services and medical treatments related to Residential Treatment Facility, Physical Disabilities. The NPI Number for Pine Valley Adult Care Home is 1982739488. The last update date is 2020-08-22.
Pine Valley Adult Care Home's current location address is 3522 Camden Rd, Fayetteville, North Carolina. You can contact this provider via phone number 9104258954. The mailing address for Pine Valley Adult Care Home is 3522 Camden Rd, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pine Valley Adult Care Home |
|---|---|
| Address | 3522 Camden Rd, Fayetteville, North Carolina |
| Phone Number | 9104258954 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTAT |
|---|---|
| Authorized Official Name | Robinson Aretta |
| Telephone Number | 9105279898 |
NPI Number Detail
| NPI Number | 1982739488 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3522 Camden Rd |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283067717 |
| Phone Number | 9104258954 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Physical Disabilities |
|---|---|
| Taxonomy | 320700000X |
| Licence No | HAL 026048 |
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Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. |
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What is the Pine Valley Adult Care Home's 1982739488?
The Pine Valley Adult Care Home's NPI (National Provider Identifier) Number is 1982739488. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Pine Valley Adult Care Home?
The Pine Valley Adult Care Home is physically situated at 3522 Camden Rd, in the city of Fayetteville, state of NC, with the postal code 283067717.
What is the area of specialization for Pine Valley Adult Care Home, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pine Valley Adult Care Home is Residential Treatment Facility, Physical Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320700000X.
On what date did Pine Valley Adult Care Home receive its 1982739488 assignment from the Centers for Medicare & Medicaid Services?
The Pine Valley Adult Care Home was assigned its 1982739488 on 2007-02-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Pine Valley Adult Care Home's information last updated?
The Pine Valley Adult Care Home's information was last updated on 2020-08-22.
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