Organization
FAYETTEVILLE AL HOLDINGS, LLC
Active
Other names
Hertiage Suites
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES TREFZGER (MANAGER)
(828) 261-7309
Entity
Organization
Contact information
Practice address
240 ANN ST, FAYETTEVILLE, NC 28301-5543
(910) 323-4925
(910) 678-8673
Mailing address
PO BOX 2568, HICKORY, NC 28603-2568
(828) 261-7304
(828) 322-4538
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-026-061
NC
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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