NPI | 1356789143 |
---|---|
Doing Business As | QUEEN CITY 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-060-126) |
343900000X Non-emergency Medical Transport (VAN) | |
Enumeration Date | 2013-06-13 |
Last Update Date | 2021-10-26 |