Organization
COVINGTON HOUSE OF RALEIGH,LLC
Active
Other names
Pine Tree Villa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLIE E TREFZGER JR. (MANAGER)
(828) 324-8898
Entity
Organization
Contact information
Practice address
4510 DURALEIGH RD, RALEIGH, NC 27612-3534
(919) 791-1981
(919) 791-1986
Mailing address
1978 8TH AVE NW, HICKORY, NC 28601-3312
(828) 324-8898
(828) 322-9587
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-092-121
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805597
—
NC
Enumeration date
11/25/2006
Last updated
08/22/2020
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