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Organization

GASTON RESIDENTIAL SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RITA B. THUOT (EXECUTIVE DIRECTOR)
(704) 861-9280
Entity
Organization

Contact information

Practice address
905A N NEW HOPE RD, GASTONIA, NC 28054-3354
(704) 861-9280
(704) 868-2154
Mailing address
905A N NEW HOPE RD, GASTONIA, NC 28054-3354
(704) 861-9280
(704) 868-2154

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8300506
NC
01
MHL-036-023
LAUREL LANE G.H.
NC
01
MHL-036-049
YORK CHESTER G.H.
NC
01
MHL-036-051
FORESTBROOK G.H.
NC
01
MHL-036-060
GARDNER PARK G.H.
NC
01
MHL-036-107
FAIRFIELD DR. HOME
NC
01
MHL-036-174
SECOND AVE. HOME
NC
01
MHL-036-208
MCFALLS HOME
NC
01
MHL-036-239
BERNICE DR. HOME
NC
01
MHL-036-244
FARMVIEW HOME
NC
Enumeration date
12/29/2006
Last updated
08/22/2020
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