Edenton Operating Al, LLC
NPI #1902134869 in Edenton, North Carolina
Provider Information
- NPI Number
- 1902134869
- Entity Type
- Organization
- Organization Name
- Edenton Operating Al, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Dec 3, 2009
- Last Updated
- Dec 3, 2009
Practice Location
- Address
- 323 MEDICAL ARTS DR
- City
- Edenton
- State
- North Carolina
- ZIP Code
- 27932-8608
- Phone
- (252) 482-1113
Authorized Official
- Name
- CHARLES E TREFZGER JR.
- Title
- AUTHORIZED OFFICIAL
- Phone
- (828) 261-7312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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