ROXBORO OPERATING AL LLC NPI 1871822841

NPI Information

  • NPI: 1871822841
  • Provider Name: ROXBORO OPERATING AL, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: THE CANTERBURY HOUSE
  • CLIA Number: 34D2019420
  • Address: 1284 LEASBURG RD
    ROXBORO, NC
    ZIP 27574
  • Phone: (336) 330-0108

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NPI Details

ROXBORO OPERATING AL, LLC is an assisted living facility in Roxboro, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ROXBORO OPERATING AL, LLC NPI is 1871822841. The provider is registered as an organization entity type.
The provider Is Doing Business As The Canterbury House.

The provider's business location address is:

1284 LEASBURG RD
ROXBORO, NC
ZIP 27574-485
Phone: (336) 330-0108

The provider's authorized official is Charles E Trefzger .
The authorized official title is Authorized Official and has the following contact phone number (828) 261-7312.

The CLIA number assigned to this NPI record is 34D2019420 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2009 and was last updated on 12/21/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityNORTH CAROLINAYes

What is NPI?

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This page was last updated on: 11/21/2025

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