Wallace Opco, LLC
NPI #1841969458 in Wallace, North Carolina
Provider Information
- NPI Number
- 1841969458
- Entity Type
- Organization
- Organization Name
- Wallace Opco, LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Sep 8, 2021
- Last Updated
- Sep 8, 2021
Practice Location
- Address
- 4026 NC- 11 SOUTH
- City
- Wallace
- State
- North Carolina
- ZIP Code
- 28466
- Phone
- (910) 285-9050
Authorized Official
- Name
- MR. CHARLES E TREFZGER JR.
- 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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