Organization
PALMETTO HEALTHCARE INC.
Active
Other names
Waterbrooke Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GOLDSTON (PRESIDENT)
(910) 754-6621
Entity
Organization
Contact information
Practice address
703 ELIZABETH ST, TABOR CITY, NC 28463-2603
(910) 754-6621
Mailing address
PO BOX 1559, SHALLOTTE, NC 28459-1559
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL-024-008
NC
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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