NPI | 1215244306 |
---|---|
Doing Business As | WILLOW RIDGE ASSISTED LIVING |
Entity Type | Organization |
Authorized Contact | CHARLES E TREFZGER Manager 828-322-5535 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NC HAL-060-111) |
343900000X Non-emergency Medical Transport (VAN) | |
Enumeration Date | 2010-09-10 |
Last Update Date | 2021-10-11 |