Brevard South Operating Al, LLC

Organization Active NPI Assisted Living Facility · Brevard, NC

NPI 1962731935 · NPPES record last updated Dec 21, 2009

Key facts

NPI
1962731935
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
Legal business name
BREVARD SOUTH OPERATING AL, LLC
Practice address
11 Sherwood Ridge Rd
Brevard, NC 28712-6558
Phone
(828) 884-9510
NPI assigned
Dec 21, 2009
Organization subpart
No

Authorized official

Name
Charles E Trefzger Jr.
Title
Authorized Official
Phone
(828) 261-7312

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NC Yes

Addresses

Primary practice location

11 Sherwood Ridge Rd
Brevard, NC 28712-6558

Mailing address

PO Box 2568
Hickory, NC 28603-2568

Other names

  • Cedar Mountain House Doing business as

Other providers in Brevard, NC

All providers in Brevard, NC · Assisted Living Facility in North Carolina

Sources for this page

Verify at the official NPI Registry.