Organization
HOSPICE OF GASTON COUNTY, INC
Active
Other names
Gaston Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEONA T BUCCI RN, MS, CNA (EXECUTIVE DIRECTOR)
(704) 861-8405
Entity
Organization
Contact information
Practice address
258 E GARRISON BLVD, WATER TOWER PLACE, GASTONIA, NC 28054-0460
(704) 861-8405
(704) 865-0590
Mailing address
PO BOX 3984, GASTONIA, NC 28054-0460
(704) 861-8405
(704) 865-0590
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HC0812
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021Y
BLUE CROSS BLUE SHIELD
NC
05
—
3401536
—
NC
Enumeration date
07/20/2005
Last updated
12/15/2010
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