Edenton House, LLC
NPI #1760682579 in Edenton, North Carolina
Provider Information
- NPI Number
- 1760682579
- Entity Type
- Organization
- Organization Name
- Edenton House, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 19, 2007
- Last Updated
- Oct 15, 2007
Practice Location
- Address
- 323 MEDICAL ARTS DRIVE
- City
- Edenton
- State
- North Carolina
- ZIP Code
- 27932
- Phone
- (252) 482-1113
Authorized Official
- Name
- MR. CHARLES E TREFZGER JR.
- Title
- MANAGER
- Phone
- (828) 322-5535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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| Edenton Prime Time Retirement Village, LLC | |
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