Mocksville Opco, LLC
NPI #1811421456 in Mocksville, North Carolina
Provider Information
- NPI Number
- 1811421456
- Entity Type
- Organization
- Organization Name
- Mocksville Opco, LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Apr 19, 2017
- Last Updated
- Nov 2, 2021
Practice Location
- Address
- 337 HOSPITAL ST
- City
- Mocksville
- State
- North Carolina
- ZIP Code
- 27028-2060
- Phone
- (336) 751-2175
Authorized Official
- Name
- CHARLES E TREFZGER
- Title
- MANAGER
- Phone
- (828) 322-5535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
| Non-emergency Medical Transport (VAN) |
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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