# CANTON CHRISTIAN CONVALESCENT CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maggie Valley Nursing and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730175985
- **Authorized official:** MR. CHARLES E TREFZGER JR. (MANAGER)
- **Authorized official phone:** (828) 322-5535

## Contact information

- **Practice address:** 75 FISHER LOOP, MAGGIE VALLEY, NC 28751-5531
- **Practice address phone:** (828) 566-3002
- **Practice address fax:** (828) 648-0201
- **Mailing address:** 75 FISHER LOOP, MAGGIE VALLEY, NC 28751-5531
- **Mailing address phone:** (828) 566-3002
- **Mailing address fax:** (828) 648-3551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0081 | NC | Yes |

## Other

- **Enumeration date:** 09/23/2005
- **Last updated:** 11/08/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3435358 | — | NC |
| 05 | — | 3445102 | — | NC |