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Organization
NEW HANOVER HOUSE, LLC
Active
Organization
NEW HANOVER HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E TREFZGER (MANAGER)
(828) 322-5535
Entity
Organization
Contact information
Practice address
3915 STEDWICK COURT, WILMINGTON, NC 28412
(910) 632-2671
(910) 632-2676
Mailing address
PO BOX 2568, HICKORY, NC 28603-2568
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
HAL-065-036
NC
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
10/25/2011
Last updated
10/22/2021
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