Organization
DE GOOD SHEPHARD SENIOR LIVING
Active
Other names
De Good Shephard Senior Living Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY IJEOMA EZEKWE-ANYA DO (ADMINISTRATOR)
(170) 439-0646
Entity
Organization
Contact information
Practice address
14809 BRIDGEWATER LN, MINT HILL, NC 28227-8514
(980) 299-0010
(980) 299-3006
Mailing address
14809 BRIDGEWATER LN, MINT HILL, NC 28227-8514
(980) 299-0010
(980) 299-3006
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/23/2022
Last updated
04/23/2022
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