LAVERNE'S HAVEN RESIDENTIAL SERVICES
NPI 1760875728
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Eden, NC
- Organization
- Residential Treatment Facility, Intellec...
About LAVERNE'S HAVEN RESIDENTIAL SERVICES
This page provides the complete NPI Profile along with additional information for Laverne's Haven Residential Services, a provider established in Eden, North Carolina operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1760875728 assigned on March 2015. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. Jeffery Lynn Womack (Owner/operator)
- NPI
- 1760875728 Verify this NPI
- Provider Name
- LAVERNE'S HAVEN RESIDENTIAL SERVICES
- Entity Type
- Organization
- Location Address
- 195 BROOKSIDE DR EDEN, NC 27288
- Location Phone
- (336) 627-3262
- Mailing Address
- 7022 LAKEVIEW TER DANVILLE, VA 24540
- Mailing Phone
- (434) 489-2469
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-13-2015
- Last Update Date
- 03-13-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760875728, enumerated as an "organization" on March 13, 2015.
The provider is located at 195 BROOKSIDE DR EDEN, NC 27288 and the phone number is (336) 627-3262.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
