| NPI | 1396123972 |
|---|---|
| Other Name | SHALLOTTE HOME |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LOZANO Director Of Revenue Cycle 404-968-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-09-16 |