Organization
GWENS HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE ECHOLS (OWNER)
(704) 777-5951
Entity
Organization
Contact information
Practice address
8725 LONGNOR ST, CHARLOTTE, NC 28214-8479
(704) 777-5951
Mailing address
8725 LONGNOR ST, CHARLOTTE, NC 28214-8479
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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