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Organization
SHORELAND HEALTHCARE & RETIREMENT CENTER INC
Active
Organization
SHORELAND HEALTHCARE & RETIREMENT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE CALCUTT (CFO)
(910) 642-0224
Entity
Organization
Contact information
Practice address
200 FLOWERS PRIDGEN DR, WHITEVILLE, NC 28472
(910) 642-4300
(910) 642-4405
Mailing address
2334 SOUTH 41ST ST, WILMINGTON, NC 28403
(910) 332-1777
(910) 815-3114
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
NULL
314000000X
Skilled Nursing Facility
Primary
NH0510
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0089F
BCBS
NC
05
—
3405397
—
NC
05
—
3406388
—
NC
05
—
7801045
—
NC
Enumeration date
05/20/2006
Last updated
08/20/2024
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