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Waterside Healthcare Inc.
Adult Care Home Facility in Shallotte, North Carolina
NPI 1467590042

Waterside Healthcare Inc. is an Adult Care Home Facility based in Shallotte, NC and is specialized in Adult Care Home. Waterside Healthcare Inc. practices in Shallotte, NC. The NPI Number for Waterside Healthcare Inc. is 1467590042 and holds a License No. HAL-010-004 (North Carolina).

The current practice location address for Waterside Healthcare Inc. is 520 Mulberry St, Shallotte, NC and can be reached out via phone at 910-754-6621.

Location: 520 Mulberry St, Shallotte, NC, 28459-1559
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467590042
Provider Name
Waterside Healthcare Inc.
Credential
Provider Entity Type
Organization
Address
520 Mulberry St, Shallotte, NC, 28459-1559
Phone Number
910-754-6621
Fax Number
Provider Enumeration Date
02/03/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7805372 05 NC
institution
Provider Business Practice Location Address Details
Address
520 Mulberry St
City
Shallotte
State
North Carolina
Zip
28470-4586
Phone Number
910-754-6621
Fax Number
person
Provider Business Mailing Address Details
Address
520 Mulberry St
City
Shallotte
State
North Carolina
Zip
28470-4586
Phone Number
910-754-6621
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
HAL-010-004 (North Carolina)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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