Individual provider · Type 1 NPI
Gaynelle Bolling
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Pikeville, NC
Practice location
102 Mandarin Dr
Pikeville, NC 27863-0020
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 1649895442
Gaynelle Bolling's National Provider Identifier is 1649895442, issued on Jun 8, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Pikeville, NC. The record was last updated on Jun 8, 2020.