Waterside Healthcare Inc.
NPI #1467590042 in Shallotte, North Carolina
Provider Information
- NPI Number
- 1467590042
- Entity Type
- Organization
- Organization Name
- Waterside Healthcare Inc.
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Feb 3, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 520 MULBERRY ST
- City
- Shallotte
- State
- North Carolina
- ZIP Code
- 28470-4586
- Phone
- (910) 754-6621
Authorized Official
- Name
- MR. DAVID B GOLDSTON III
- Title
- PRESIDENT
- Phone
- (910) 754-6621
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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