34D2031968 CLIA NUMBER - AUTUMNFIELD OF BELHAVEN

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Laboratory Demographics

CLIA Number: 34D2031968

Facility Name: AUTUMNFIELD OF BELHAVEN

Facility Address:
1345 SEED TICK NECK RD
PINETOWN, NC
ZIP 27865
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Facility Phone Number: 252 964-2490

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1255488805

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	34D2031968
LAB Type	Assisted Living Facility
Facility Name	AUTUMNFIELD OF BELHAVEN
Street	1345 SEED TICK NECK RD
City	PINETOWN
State	NC
ZIP	27865
Phone	252 964-2490
CertificateType	4
CertificateEffectiveDate	11/1/2023
CertificateExpirationDate	10/31/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024