| NPI | 1467590042 |
|---|---|
| Doing Business As | SHALLOTTE ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | DAVID B GOLDSTON President 910-754-6621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HAL-010-004) |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2020-08-22 |