Organization · Type 2 NPI
Gaston Residential Services, Icf/mr, Inc.
Intellectual Disabilities Intermediate Care Facility · Gastonia, NC
NPI number
1689809493
Active
Practice location
934 Springdale Ln
Gastonia, NC 28052-5327
Fax (704) 868-2154
Mailing address
905 N New Hope Rd Ste A
Gastonia, NC 28054-3373
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1689809493
Gaston Residential Services, Icf/mr, Inc.'s National Provider Identifier is 1689809493, 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.