# TD CARE HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962238907
- **Authorized official:** DONNIE VAUGHN PUETT (MEMBER/ MANAGER)
- **Authorized official phone:** (828) 443-7792

## Contact information

- **Practice address:** 523 E MARION ST, SHELBY, NC 28150-4615
- **Practice address phone:** (980) 552-9651
- **Mailing address:** 523 E MARION ST, SHELBY, NC 28150-4615
- **Mailing address phone:** (980) 552-9651

## Taxonomy

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

## Other

- **Enumeration date:** 09/09/2024
- **Last updated:** 09/09/2024