# LAKE GASTON OPCO HOLDINGS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Landings of Lake Gaston
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306423306
- **Authorized official:** CHARLES E TREFZGER (MANAGER)
- **Authorized official phone:** (828) 322-5535

## Contact information

- **Practice address:** 206 N MOSBY AVE, LITTLETON, NC 27850-7782
- **Practice address phone:** (252) 319-5900
- **Mailing address:** PO BOX 2568, HICKORY, NC 28603-2568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 03/25/2021
- **Last updated:** 11/09/2021
