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Organization

SHELBY MANOR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BOBBI JO DORMAN (EXECUTIVE DIRECTOR)
(704) 482-0000
Entity
Organization

Contact information

Practice address
1176 WYKE RD, SHELBY, NC 28150-4273
(704) 482-0000
(704) 487-0772
Mailing address
1176 WYKE RD, SHELBY, NC 28150-4273
(704) 482-0000
(704) 487-0772

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
01/18/2010
Last updated
01/18/2010
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