Organization
CENTURY CARE OF GASTONIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN S HILL (CFO / SECRETARY)
(919) 290-2722
Entity
Organization
Contact information
Practice address
2780 X RAY DR, GASTONIA, NC 28054-7490
(704) 861-0981
(704) 861-0388
Mailing address
2780 X RAY DR, GASTONIA, NC 28054-7490
(704) 861-0981
(704) 861-0388
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0402
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405494
—
NC
05
—
340612N
—
NC
Enumeration date
09/25/2006
Last updated
11/16/2022
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