Organization
GRACEFUL LIFE HOMES LLC
Active
Organization
GRACEFUL LIFE HOMES LLC
Active
Other names
Graceful Living Homes
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE RODRIGUEZ (OWNER)
(917) 341-3659
Entity
Organization
Contact information
Practice address
1536 ANDERSON ST, GASTONIA, NC 28054-1223
(917) 341-3659
Mailing address
15135 ALIJON CT, CHARLOTTE, NC 28278-6885
(917) 341-3659
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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