Organization
USI II LLC
Active
Other names
The Parc at Brevard
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES E TREFZGER JR. (COURT APPOINTED RECEIVER)
(828) 322-5535
Entity
Organization
Contact information
Practice address
11 SHERWOOD RIDGE RD, BREVARD, NC 28712-6558
(828) 884-9510
(828) 884-3920
Mailing address
PO BOX 2568, HICKORY, NC 28603-2568
(828) 322-5535
(828) 322-3897
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-088-003
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803939
—
NC
Enumeration date
03/27/2007
Last updated
08/22/2020
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