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Shady Harbour Adult Living
Adult Care Home Facility in Charlotte, North Carolina
NPI 1770794620

Shady Harbour Adult Living is an Adult Care Home Facility based in Charlotte, NC and is specialized in Adult Care Home. Shady Harbour Adult Living practices in Charlotte, NC. The NPI Number for Shady Harbour Adult Living is 1770794620 and holds a License No. (North Carolina).

The current practice location address for Shady Harbour Adult Living is 908 Tom Hunter Road, Charlotte, NC and can be reached out via phone at 704-597-1088 and via fax at 704-597-1088.

Location: 908 Tom Hunter Road, Charlotte, NC, 28213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770794620
Provider Name
Shady Harbour Adult Living
Credential
Provider Entity Type
Organization
Address
908 Tom Hunter Road, Charlotte, NC, 28213
Phone Number
704-597-1088
Fax Number
704-597-1088
Provider Enumeration Date
05/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7803232 05 NC
institution
Provider Business Practice Location Address Details
Address
908 Tom Hunter Road
City
Charlotte
State
North Carolina
Zip
28213
Phone Number
704-597-1088
Fax Number
704-597-1088
person
Provider Business Mailing Address Details
Address
908 Tom Hunter Road
City
Charlotte
State
North Carolina
Zip
28213
Phone Number
704-597-1088
Fax Number
704-597-1088
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
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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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