Organization
GASTON MEMORIAL HOME HEALTH CARE/MED.INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBER Z WALTERS (EXECUTIVE DIRECTOR)
(704) 834-2025
Entity
Organization
Contact information
Practice address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 834-2025
(704) 834-2038
Mailing address
PO BOX 2568, GASTONIA, NC 28053-2568
(704) 834-2025
(704) 834-2038
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HC0906
NC
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408315
—
NC
05
—
3417131
—
NC
05
—
6600071
—
NC
05
—
6800451
—
NC
05
—
7100452
—
NC
05
—
7703688
—
NC
01
—
HC0906
DIVISION OF FACILITY SERV
NC
Enumeration date
07/11/2005
Last updated
09/11/2025
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