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Gaston Residential Services, Icf/mr, Inc.
Intellectual Disabilities Intermediate Care Facility in Gastonia, North Carolina
NPI 1689809493

Gaston Residential Services, Icf/mr, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Gastonia, NC. Gaston Residential Services, Icf/mr, Inc. practices in Gastonia, NC. The NPI Number for Gaston Residential Services, Icf/mr, Inc. is 1689809493 and holds a License No. (North Carolina).

The current practice location address for Gaston Residential Services, Icf/mr, Inc. is 934 Springdale Ln, Gastonia, NC and can be reached out via phone at 704-861-9280 and via fax at 704-868-2154. You can also correspond with Gaston Residential Services, Icf/mr, Inc. through the mailing address at 905 N NEW HOPE RD STE A, GASTONIA, NC - 28054-3373 (mailing address contact number: 704-861-9280).

Location: 934 Springdale Ln, Gastonia, NC, 28054-3373
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689809493
Provider Name
Gaston Residential Services, Icf/mr, Inc.
Credential
Provider Entity Type
Organization
Address
934 Springdale Ln, Gastonia, NC, 28054-3373
Phone Number
704-861-9280
Fax Number
704-868-2154
Provider Enumeration Date
05/22/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3406290 05 NC
institution
Provider Business Practice Location Address Details
Address
934 Springdale Ln
City
Gastonia
State
North Carolina
Zip
28052-5327
Phone Number
704-861-9280
Fax Number
704-868-2154
person
Provider Business Mailing Address Details
Address
934 Springdale Ln
City
Gastonia
State
North Carolina
Zip
28052-5327
Phone Number
704-861-9280
Fax Number
704-868-2154
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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