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FAIR HAVEN HOME, INC.

Adult Care Home

Bostic, North Carolina

Provider NPI: 1275508970

Organization Information:
Organization Name:  FAIR HAVEN HOME, INC.


Practice Location:
149 FAIRHAVEN DR  BOSTIC, NC 28018 US
Tel: 828-245-9095  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
NCNH0531
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
NCNH0531

Other Provider Identifiers:

IssuerNumberStateType
3405425NC05
7801066NC05
340602RNC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS NC - Page 1