Organization · Type 2 NPI
Lake Gaston Opco Holdings, LLC
Adult Care Home Facility · Littleton, NC
NPI number
1306423306
Active
Practice location
206 N Mosby Ave
Littleton, NC 27850-7782
Mailing address
PO Box 2568
Hickory, NC 28603-2568
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
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.
2 other providers at this address
About NPI 1306423306
Lake Gaston Opco Holdings, LLC's National Provider Identifier is 1306423306, issued on Mar 25, 2021. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Littleton, NC. The record was last updated on Nov 9, 2021.