Individual provider · Type 1 NPI
Pennel Addy
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Shelby, NC
Practice location
613 Poplar Dr
Shelby, NC 28152-7619
Mailing address
3229 Liberty Elm Ln
Gastonia, NC 28056-5227
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1275326894
Pennel Addy's National Provider Identifier is 1275326894, issued on May 27, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Shelby, NC. The record was last updated on Jul 7, 2025.