Organization
ZEBULON OPCO, LLC
Active
Other names
Coventry House of Zebulon
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY BUNN (EXECUTIVE DIRECTOR)
(828) 322-5535
Entity
Organization
Contact information
Practice address
1205 W GANNON AVE, ZEBULON, NC 27597-8838
(919) 269-7762
Mailing address
1205 W GANNON AVE, ZEBULON, NC 27597-8838
(919) 269-7762
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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