Provider Demographics
NPI:1720356678
Name:HONIY VALLEY RETIREMENT CENTER
Entity Type:Organization
Organization Name:HONIY VALLEY RETIREMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:JACK
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-768-1908
Mailing Address - Street 1:2189 SMOKY PARK HWY
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-9702
Mailing Address - Country:US
Mailing Address - Phone:828-667-0158
Mailing Address - Fax:828-633-0337
Practice Address - Street 1:2189 SMOKY PARK HWY
Practice Address - Street 2:
Practice Address - City:CANDLER
Practice Address - State:NC
Practice Address - Zip Code:28715-9702
Practice Address - Country:US
Practice Address - Phone:828-667-0158
Practice Address - Fax:828-633-0337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHAL011158310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility