| NPI | 1396495735 |
|---|---|
| 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 | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-03-28 |