Organization
WELLINGTON HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA A HALLMAN (CONTROLLER)
(828) 324-8898
Entity
Organization
Contact information
Practice address
850 MAJESTIC CT, GASTONIA, NC 28054-5131
(704) 864-7739
(704) 853-2109
Mailing address
850 MAJESTIC CT, GASTONIA, NC 28054-5131
(704) 864-7739
(704) 853-2109
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL036020
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804940
—
NC
Enumeration date
09/23/2005
Last updated
08/22/2020
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