# DBG III LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fair Bluff Assisted Living \#2
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437298924
- **Authorized official:** MR. DAVID B GOLDSTON III (MANAGER)
- **Authorized official phone:** (910) 754-6621

## Contact information

- **Practice address:** 42 HORNE STREET, FAIR BLUFF, NC 28439
- **Practice address phone:** (910) 754-6621
- **Mailing address:** PO BOX 1559, SHALLOTTE, NC 28459-1559
- **Mailing address phone:** (910) 754-6621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-024-006 | NC | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 08/22/2020