| NPI | 1376691519 |
|---|---|
| Doing Business As | SHELTON'S PLACE |
| Entity Type | Organization |
| Authorized Contact | CORNELIUS WILLIAMS President Registered Agent 252-204-1381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2024-04-10 |