| NPI | 1417943507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E TREFZGER Manager 828-261-7324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NC HAL046004) |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2022-09-15 |