# CENTURY CARE OF GASTONIA, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235239567
- **Authorized official:** MR. BRIAN S HILL (CFO / SECRETARY)
- **Authorized official phone:** (919) 290-2722

## Contact information

- **Practice address:** 2780 X RAY DR, GASTONIA, NC 28054-7490
- **Practice address phone:** (704) 861-0981
- **Practice address fax:** (704) 861-0388
- **Mailing address:** 2780 X RAY DR, GASTONIA, NC 28054-7490
- **Mailing address phone:** (704) 861-0981
- **Mailing address fax:** (704) 861-0388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0402 | NC | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 11/16/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3405494 | — | NC |
| 05 | — | 340612N | — | NC |