OrganizationActive
Gaston Residential Services, Icf/Mr, Inc.
NPI 1265667075 · Intellectual Disabilities Intermediate Care Facility · Gastonia, NC
Provider details
- NPI number
- 1265667075
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Lynette Demperio, Finance Director(704) 861-9280
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
138 Meek Rd
Gastonia, NC 28056-9075
Phone: (704) 861-9280
Fax: (704) 868-2154
Approximate (ZIP-level) locationGet directions
Mailing address
905 N New Hope Rd Ste a
Gastonia, NC 28054-3373
Registry dates
- Enumerated
- 2009-05-22
- Last updated
- 2009-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.