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Organization
SHELBY OPCO, LLC
Active
Organization
SHELBY OPCO, LLC
Active
Other names
Shelby Manor
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E TREFZGER (MANAGER)
(828) 322-5535
Entity
Organization
Contact information
Practice address
1176 WYKE RD, SHELBY, NC 28150-4273
(704) 482-0000
Mailing address
PO BOX 2568, HICKORY, NC 28603-2568
(828) 322-5535
(828) 326-8109
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
HAL023046
NC
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
04/09/2018
Last updated
11/09/2021
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