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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PENNEL ADDY

Active Sole Proprietor

Intellectual Disabilities Residential Treatment Facility · SHELBY, NC

Registration Details

NPI Number
1275326894
Provider Type
Individual
Gender
Male
NPI Issued
May 27, 2025 (0.90304997961558 yrs)
Last Updated
Jul 7, 2025
Sole Proprietor
Yes

Practice Information

Address
613 POPLAR DR
SHELBY, NC, 281527619
Browse NC providers · Browse ZIP 28152
Phone
9802583094
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.