# ALBEMARLE SENIOR LIVING INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Waterbrooke of Elizabeth City
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114126224
- **Authorized official:** MR. DAVID BURNS GOLDSTON III (PRESIDENT)
- **Authorized official phone:** (910) 754-6621

## Contact information

- **Practice address:** 143 ROSEDALE DR, ELIZABETH CITY, NC 27909-9810
- **Practice address phone:** (252) 331-2149
- **Mailing address:** 520 MULBERRY ST, SHALLOTTE, NC 28470-4586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/18/2007
- **Last updated:** 07/18/2007