Organization
LAKE GASTON OPCO HOLDINGS, LLC
Active
Other names
Landings of Lake Gaston
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E TREFZGER (MANAGER)
(828) 322-5535
Entity
Organization
Contact information
Practice address
206 N MOSBY AVE, LITTLETON, NC 27850-7782
(252) 319-5900
Mailing address
PO BOX 2568, HICKORY, NC 28603-2568
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
03/25/2021
Last updated
11/09/2021
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