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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