# CLAYTON OPCO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kingswood Reserve
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427778513
- **Authorized official:** MR. CHARLES E TREFZGER JR. (MANAGER)
- **Authorized official phone:** (828) 322-5535

## Contact information

- **Practice address:** 263 MCKENZIE RIDGE DR, CLAYTON, NC 27527
- **Practice address phone:** (984) 257-9105
- **Mailing address:** PO BOX 2568, HICKORY, NC 28603-2568
- **Mailing address phone:** (828) 322-5535

## Taxonomy

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

## Other

- **Enumeration date:** 08/30/2022
- **Last updated:** 01/16/2024