Organization
CRANBERRY HOUSE, LLC
Active
Other names
Cranberry House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES E TREFZGER JR. (MANANGER)
(828) 322-5535
Entity
Organization
Contact information
Practice address
6215 US 19E, ELK PARK, NC 28622
(828) 733-5558
Mailing address
1978 8TH AVE NW, HICKORY, NC 28601-3312
(828) 322-5535
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
HAL-006-004
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805864
—
NC
Enumeration date
07/23/2007
Last updated
10/15/2007
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