| NPI | 1780225748 |
|---|---|
| Doing Business As | GRANVILLE HOUSE |
| Entity Type | Organization |
| Authorized Contact | CHARLES E TREFZGER Manager 828-270-0651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2022-09-15 |