Organization · Type 2 NPI

Greene Haven Family Care Home

Adult Care Home Facility · Shelby, NC

NPI number 1124234166 Active

Practice location

1833 Stony Point Rd
Shelby, NC 28150-9601

Call (704) 487-0063 Map

Fax (704) 482-8001

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility 310400000XNone listed
Adult Care Home Facility Primary 311ZA0620XFCL-023-009 (NC)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1124234166

Greene Haven Family Care Home's National Provider Identifier is 1124234166, issued on May 15, 2007. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Shelby, NC. The record was last updated on Sep 24, 2007.