Organization
CLAYTON OPCO, LLC
Active
Other names
Kingswood Reserve
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES E TREFZGER JR. (MANAGER)
(828) 322-5535
Entity
Organization
Contact information
Practice address
263 MCKENZIE RIDGE DR, CLAYTON, NC 27527
(984) 257-9105
Mailing address
PO BOX 2568, HICKORY, NC 28603-2568
(828) 322-5535
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
08/30/2022
Last updated
01/16/2024
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