Organization
GRANVILLE OPCO, LLC
Active
Other names
Granville House
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARLES E TREFZGER JR. (MANAGER)
(828) 270-0651
Entity
Organization
Contact information
Practice address
200 COVENTRY DR, OXFORD, NC 27565-4005
(919) 742-4052
Mailing address
200 COVENTRY DR, OXFORD, NC 27565-4005
(919) 742-4052
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
10/01/2019
Last updated
09/15/2022
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