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NPI Code Detail

MEDICARE: TAYLORSVILLE HOUSE LLC

MEDICARE: TAYLORSVILLE HOUSE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living FacilityHAL002003NC
2343900000XNon-emergency Medical Transport (VAN)
3311ZA0620XAdult Care Home Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215923347
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAYLORSVILLE HOUSE LLC
Provider Business Mailing Address
First Line : PO BOX 2568
Second Line :
City : HICKORY
State : NC
Zip : 28603-2568
Country : US
Telephone Number : 828-270-0651
Fax Number : 828-270-0651
Provider Business Practice Location Address
First Line : 350 SCHOOL DR
Second Line :
City : TAYLORSVILLE
State : NC
Zip : 28681-2340
Country : US
Telephone Number : 828-635-8989
Fax Number : 828-635-5554
Authorized Official
Title or Position : MANAGER
Name : CHARLES E TREFZGER
Credential :
Telephone Number : 828-322-5535
Provider Enumeration Date : 09/23/2005
Last Update Date : 10/11/2021

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Directions to “TAYLORSVILLE HOUSE LLC ” Practice Location

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