# GERRY'S LOVING HANDS

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

## Provider details

- **NPI number:** 1942425509
- **Authorized official:** MR. DALLAS L. SHACKLEFORD (OWNER)
- **Authorized official phone:** (252) 753-2912

## Contact information

- **Practice address:** 1432 VANDIFORD THOMAS RD, SNOW HILL, NC 28580-7468
- **Practice address phone:** (252) 753-2912
- **Practice address fax:** (252) 753-2912
- **Mailing address:** 1432 VANDIFORD THOMAS RD, SNOW HILL, NC 28580-7468
- **Mailing address phone:** (252) 753-2912
- **Mailing address fax:** (252) 753-2912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-040-037 | NC | Yes |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 06/14/2008