Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GAYNELLE BOLLING
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · PIKEVILLE, NC
Registration Details
- NPI Number
- 1649895442
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 8, 2020 (5.8703613917047 yrs)
- Last Updated
- Jun 8, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
102 MANDARIN DRPIKEVILLE, NC, 278630020Browse NC providers · Browse ZIP 27863
- Phone
- 9192141911
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
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.