Organization · Type 2 NPI

Marickeyo S Huskey

Adult Care Home Facility · Shelby, NC

NPI number 1396128757 Active

Practice location

113 Leslie Dr
Shelby, NC 28152

Fax (704) 466-3043

Mailing address

113 Serenity Dr
Shelby, NC 28152-7999

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XFCL-023-046 (NC)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1396128757

Marickeyo S Huskey's National Provider Identifier is 1396128757, issued on Jul 2, 2015. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Shelby, NC. The record was last updated on Sep 14, 2026.