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Organization
GRANTSBORO OPCO HOLDINGS
Active
Organization
GRANTSBORO OPCO HOLDINGS
Active
Other names
Gardens of Pamlico
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E TREFZGER (MANAGER)
(828) 322-5535
Entity
Organization
Contact information
Practice address
22 MAGNOLIA WAY, GRANTSBORO, NC 28529-9457
(252) 745-8202
Mailing address
PO BOX 2568, HICKORY, NC 28603-2568
(828) 322-5535
(828) 326-8115
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
HAL069002
NC
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
11/05/2015
Last updated
11/01/2021
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