Organization
MOCKSVILLE OPCO, LLC
Active
Other names
Mocksville Senior Living and Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E TREFZGER (MANAGER)
(828) 322-5535
Entity
Organization
Contact information
Practice address
337 HOSPITAL ST, MOCKSVILLE, NC 27028-2060
(336) 751-2175
(336) 751-0136
Mailing address
337 HOSPITAL ST, MOCKSVILLE, NC 27028-2060
(336) 751-2175
(336) 751-0136
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
HAL030009
NC
311ZA0620X
Adult Care Home Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
04/19/2017
Last updated
11/02/2021
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