Organization
EC OPCO SHELBY LP
Active
Organization
EC OPCO SHELBY LP
Active
Other names
TerraBella Shelby
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE SIBLEY-NEWTON (EXECUTIVE DIRECTOR)
(704) 471-2828
Entity
Organization
Contact information
Practice address
1550 CHARLES ROAD, SHELBY, NC 28152
(704) 471-2828
(704) 487-5084
Mailing address
1550 CHARLES ROAD, SHELBY, NC 28152
(704) 471-2828
(704) 487-5084
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
11/19/2019
Last updated
12/04/2023
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