Organization · Type 2 NPI

Gaston Residential Services, Icf/mr, Inc.

Intellectual Disabilities Intermediate Care Facility · Gastonia, NC

NPI number 1265667075 Active

Practice location

138 Meek Rd
Gastonia, NC 28056-9075

Fax (704) 868-2154

Mailing address

905 N New Hope Rd Ste A
Gastonia, NC 28054-3373

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1265667075

Gaston Residential Services, Icf/mr, Inc.'s National Provider Identifier is 1265667075, issued on May 22, 2009. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Gastonia, NC. The record was last updated on May 22, 2009.