| Gaston Residential Services, Inc. | |
|
905a N New Hope Rd Gastonia NC 28054-3354 | |
| (704) 861-9280 | |
| (704) 868-2154 |
| Full Name | Gaston Residential Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 905a N New Hope Rd, Gastonia, North Carolina |
| Authorized Official Name and Position | Rita B. Thuot (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7048619280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaston Residential Services, Inc. 905a N New Hope Rd Gastonia NC 28054-3354 Ph: (704) 861-9280 | Gaston Residential Services, Inc. 905a N New Hope Rd Gastonia NC 28054-3354 Ph: (704) 861-9280 |
| NPI Number | 1689730145 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689730145 | NPI | - | NPPES |
| 8300506 | Medicaid | NC | |
| MHL-036-049 | Other | NC | YORK CHESTER G.H. |
| MHL-036-208 | Other | NC | MCFALLS HOME |
| MHL-036-174 | Other | NC | SECOND AVE. HOME |
| MHL-036-239 | Other | NC | BERNICE DR. HOME |
| MHL-036-051 | Other | NC | FORESTBROOK G.H. |
| MHL-036-060 | Other | NC | GARDNER PARK G.H. |
| MHL-036-107 | Other | NC | FAIRFIELD DR. HOME |
| MHL-036-244 | Other | NC | FARMVIEW HOME |
| MHL-036-023 | Other | NC | LAUREL LANE G.H. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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