# MOCKSVILLE OPCO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mocksville Senior Living and Memory Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811421456
- **Authorized official:** CHARLES E TREFZGER (MANAGER)
- **Authorized official phone:** (828) 322-5535

## Contact information

- **Practice address:** 337 HOSPITAL ST, MOCKSVILLE, NC 27028-2060
- **Practice address phone:** (336) 751-2175
- **Practice address fax:** (336) 751-0136
- **Mailing address:** 337 HOSPITAL ST, MOCKSVILLE, NC 27028-2060
- **Mailing address phone:** (336) 751-2175
- **Mailing address fax:** (336) 751-0136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | HAL030009 | NC | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 04/19/2017
- **Last updated:** 11/02/2021