OrganizationActive
Blanton Home II Inc
NPI 1023174448 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Shelby, NC
Provider details
- NPI number
- 1023174448
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Iva Blanton, Owner Operator(704) 481-8054
- License
- MHL-023-079 (NC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense MHL-023-079 (NC)
Residential Treatment Facilities
Practice location
2650 S Lafayette St
Shelby, NC 28152-7583
Phone: (704) 481-8054
Fax: (704) 480-7628
Approximate (ZIP-level) locationGet directions
Mailing address
2650 S Lafayette St
Shelby, NC 28152-7583
Registry dates
- Enumerated
- 2006-12-29
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.