Organization
JFC MERIDIAN OPCO WINSTON SALEM, LLC
Active
Other names
SOMERSET COURT AT UNIVERSITY PLACE
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E TREFZGER (MANAGER)
(828) 322-5535
Entity
Organization
Contact information
Practice address
1635 E 5TH ST, WINSTON SALEM, NC 27101-3312
(336) 722-7119
(336) 837-0212
Mailing address
PO BOX 2568, HICKORY, NC 28603-2568
(828) 322-5535
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
HAL-034-100
NC
311ZA0620X
Adult Care Home Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/18/2015
Last updated
11/02/2021
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