Organization
BREVARD SOUTH OPERATING AL, LLC
Active
Other names
Cedar Mountain House
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E TREFZGER JR. (AUTHORIZED OFFICIAL)
(828) 261-7312
Entity
Organization
Contact information
Practice address
11 SHERWOOD RIDGE RD, BREVARD, NC 28712-6558
(828) 884-9510
Mailing address
PO BOX 2568, HICKORY, NC 28603-2568
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
NC
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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