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Organization

SHORELAND HEALTHCARE & RETIREMENT CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOE CALCUTT (CFO)
(910) 642-0224
Entity
Organization

Contact information

Practice address
200 FLOWERS PRIDGEN DR, WHITEVILLE, NC 28472
(910) 642-4300
(910) 642-4405
Mailing address
2334 SOUTH 41ST ST, WILMINGTON, NC 28403
(910) 332-1777
(910) 815-3114

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
314000000X
Skilled Nursing Facility
Primary
NH0510
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0089F
BCBS
NC
05
3405397
NC
05
3406388
NC
05
7801045
NC
Enumeration date
05/20/2006
Last updated
08/20/2024
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