| Green Valley Haven, Llc | |
|
2528 Anderson Rd Burlington NC 27217-9101 | |
| (336) 578-0004 | |
| (336) 578-0004 |
| Full Name | Green Valley Haven, Llc |
|---|---|
| Speciality | Custodial Care Facility - Adult Care Home |
| Location | 2528 Anderson Rd, Burlington, North Carolina |
| Authorized Official Name and Position | Dorothea Vivian Rogers (DIRECTOR) |
| Authorized Official Contact | 3365780004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Valley Haven, Llc Po Box 981 Haw River NC 27258-0981 Ph: (336) 578-0004 | Green Valley Haven, Llc 2528 Anderson Rd Burlington NC 27217-9101 Ph: (336) 578-0004 |
| NPI Number | 1164708897 |
|---|---|
| Provider Enumeration Date | 10/26/2011 |
| Last Update Date | 04/23/2025 |
| Certification Date | 04/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164708897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 311ZA0620X | Custodial Care Facility - Adult Care Home | (* (Not Available)) | Primary |
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