34D2053874 CLIA NUMBER - HAYWOOD HOUSE

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Laboratory Demographics

CLIA Number: 34D2053874

Facility Name: HAYWOOD HOUSE

Facility Address:
27 NORTH MAIN STREET
CANTON, NC
ZIP 28716
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Facility Phone Number: 828 276-1004

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1982969739

Taxonomy: 311ZA0620X - Custodial Care Facility
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

CLIA Record

Field Name	Field Value
CLIA Number	34D2053874
LAB Type	Assisted Living Facility
Facility Name	HAYWOOD HOUSE
Street	27 NORTH MAIN STREET
City	CANTON
State	NC
ZIP	28716
Phone	828 276-1004
CertificateType	4
CertificateEffectiveDate	2/8/2023
CertificateExpirationDate	2/7/2025
FacilityType	Waiver

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