| NPI | 1386770840 |
|---|---|
| Doing Business As | SHADYBROOK LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | KENNETH HODGES President 828-738-3046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL011155) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-06-24 |