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Organization
SILER CITY OPCO, LLC
Active
Organization
SILER CITY OPCO, LLC
Active
Other names
Coventry House of Siler City
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACI MCLAURIN (EXECUTIVE DIRECTOR)
(919) 742-4052
Entity
Organization
Contact information
Practice address
260 VILLAGE LAKE RD, SILER CITY, NC 27344-1820
(919) 742-4052
Mailing address
260 VILLAGE LAKE RD, SILER CITY, NC 27344-1820
(919) 742-4052
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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