Organization · Type 2 NPI
Gentlemen's Quarters I., Llc.
Assisted Living Facility · Mount Holly, NC
NPI number
1700902897
Active
Practice location
801 S Main St, Apt. 91
Mount Holly, NC 28120-2048
Fax (704) 827-0718
Mailing address
105 Stoneridge Dr
Mount Holly, NC 28120-2041
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | MHL-036-251 (NC) |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Assisted Living Facility Primary | 310400000X | None listed |
| Adult Care Home Facility | 311ZA0620X | None listed |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | MHL-036-251 (NC) |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | None listed |
| Private Vehicle | 347C00000X | None listed |
| Respite Care | 385H00000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Another provider at this address
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About NPI 1700902897
Gentlemen's Quarters I., Llc.'s National Provider Identifier is 1700902897, issued on Mar 21, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Mount Holly, NC. The record was last updated on Sep 11, 2025.