GASTON RESIDENTIAL SERVICES, ICF/MR, INC. is an intermediate care facility mentally retarded in Cherryville, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. GASTON RESIDENTIAL SERVICES, ICF/MR, INC. NPI is 1316172125. The provider is registered as an organization entity type.
The provider's business location address is:
1102 REQUA RD
CHERRYVILLE, NC
ZIP 28021-257
Phone: (704) 861-9280
Fax: (704) 868-2154
The provider's authorized official is Lynette G Demperio .
The authorized official title is Finance Director and has the following contact phone number (704) 861-9280.
The enumeration date for this NPI number is 5/22/2009 and was last updated on 5/22/2009.