Organization
SILER CITY OPCO, LLC
Active
Other names
Coventry House of Siler City
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACI MCLAURIN (EXECUTIVE DIRECTOR)
(919) 742-4052
Entity
Organization
Contact information
Practice address
260 VILLAGE LAKE RD, SILER CITY, NC 27344-1820
(919) 742-4052
Mailing address
260 VILLAGE LAKE RD, SILER CITY, NC 27344-1820
(919) 742-4052
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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