34D2228996 CLIA NUMBER - LANDINGS OF LAKE GASTON, THE

Laboratory Demographics

CLIA Number: 34D2228996

Facility Name: LANDINGS OF LAKE GASTON, THE

Facility Address:
206 N MOSBY AVENUE
LITTLETON, NC
ZIP 27850
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Facility Phone Number: 252 319-5900

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1306423306

Taxonomy: 311ZA0620X - Custodial Care Facility
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

CLIA Record

Field Name	Field Value
CLIA Number	34D2228996
LAB Type	Assisted Living Facility
Facility Name	LANDINGS OF LAKE GASTON, THE
Street	206 N MOSBY AVENUE
City	LITTLETON
State	NC
ZIP	27850
Phone	252 319-5900
CertificateType	4
CertificateEffectiveDate	7/6/2023
CertificateExpirationDate	7/5/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024