MEDICARE: LILY OF THE VALLEY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility	MHL-092660	NC

General Provider Information

NPI Number	:	1417176991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LILY OF THE VALLEY, INC.

Provider Business Mailing Address
First Line	:	4107 MAYNARD CIR
Second Line	:
City	:	FRANKLINTON
State	:	NC
Zip	:	27525-7576
Country	:	US
Telephone Number	:	919-528-7285
Fax Number	:	919-528-7285

Provider Business Practice Location Address
First Line	:	4107 MAYNARD CIR
Second Line	:
City	:	FRANKLINTON
State	:	NC
Zip	:	27525-7576
Country	:	US
Telephone Number	:	919-528-7285
Fax Number	:	919-528-7285

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. CANDICE MORGAN SANFORD
Credential	:
Telephone Number	:	919-554-2221

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1972551927 — FRANKLIN EYE CARE ASSOCIATES OD PA
Practice Location Address:

3366 US 1 NORTH BYPASS
FRANKLINTON, NC
27525

Practice Phone: 919-494-2375
Practice Fax: 919-494-5805

1215976436 — AMEDISYS HOSPICE, LLC
Practice Location Address:

3320 US 1 HWY , SUITE B
FRANKLINTON, NC
27525-8439

Practice Phone: 919-494-3773
Practice Fax: 919-249-4258

1124138813 — KERR DRUG INC
Practice Location Address:

3422 US HWY 1
FRANKLINTON, NC
27525

Practice Phone: 919-494-7715
Practice Fax: 919-494-7803

1912002098 — SHELLY L VIDAS OT BS
Practice Location Address:

2555 NC-96
FRANKLINTON, NC
27525

Practice Phone: 919-528-0033
Practice Fax:

1912089434 — SMARTCARE OPERATIONS GROUP, INC.
Practice Location Address:

3422 US HWY 1
FRANKLINTON, NC
27525

Practice Phone: 919-494-8190
Practice Fax: 919-494-8193

1811048358 — MRS. ASHLEY HAITH SALAZAR BA
Practice Location Address:

2488 PATTON LN
FRANKLINTON, NC
27525-9472

Practice Phone: 252-767-1059
Practice Fax: 919-692-1119

Directions to “LILY OF THE VALLEY, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.