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Organization
CANTON CHRISTIAN CONVALESCENT CENTER, LLC
Active
Organization
CANTON CHRISTIAN CONVALESCENT CENTER, LLC
Active
Other names
Maggie Valley Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES E TREFZGER JR. (MANAGER)
(828) 322-5535
Entity
Organization
Contact information
Practice address
75 FISHER LOOP, MAGGIE VALLEY, NC 28751-5531
(828) 566-3002
(828) 648-0201
Mailing address
75 FISHER LOOP, MAGGIE VALLEY, NC 28751-5531
(828) 566-3002
(828) 648-3551
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0081
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3435358
—
NC
05
—
3445102
—
NC
Enumeration date
09/23/2005
Last updated
11/08/2011
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