NPI 1982739488

Pine Valley Adult Care Home

Organisation Physical Disabilities Residential Treatment Facility Fayetteville, NC

Practice location

Address: 3522 Camden Rd, Fayetteville, NC 28306-7717
Phone: (910) 425-8954
Mailing address: PO Box 35534, Fayetteville, NC 28303-0534

Authorised official

Name: Aretta Robinson
Title: Administator
Phone: (910) 527-9898

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence HAL 026048 (NC)

Other Residential Treatment Facility, Physical Disabilities providers in North Carolina →

Registry record

NPI: 1982739488
Entity type: Organization
NPI issued: 23 Feb 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.