Pigeon Valley Rest Home LLC
NPI #1528051935 in Canton, North Carolina
Provider Information
- NPI Number
- 1528051935
- Entity Type
- Organization
- Organization Name
- Pigeon Valley Rest Home LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Aug 31, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 55 LAKE DR
- City
- Canton
- State
- North Carolina
- ZIP Code
- 28716-9312
- Phone
- (828) 648-2044
Authorized Official
- Name
- MR. BOBBY N LEATHERWOOD
- Title
- ADMINISTRATOR
- Phone
- (828) 648-2044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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