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A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Care Home |
311ZA0620X | |||
Assisted Living Facility |
310400000X | |||
Non-emergency Medical Transport (VAN) |
343900000X |
| NPI Number | 1972889715 |
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| LBN Legal business name | NEW HANOVER HOUSE, LLC | ||||
| Authorized official | CHARLES TREFZGER - (MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/25/2011 | ||||
| Last updated | 10/22/2021 - About 5 years ago | ||||
| Identifiers |
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NEW HANOVER HOUSE, LLC