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NPI Code Detail

MEDICARE: GEVIL HEALTH SERVICES LLC

MEDICARE: GEVIL HEALTH SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA0600XAdult Day Care Clinic/Center
2320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1942365606
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEVIL HEALTH SERVICES LLC
Provider Business Mailing Address
First Line : 1218 RIVERCHASE DR
Second Line :
City : RICHMOND
State : TX
Zip : 77469-6264
Country : US
Telephone Number : 832-298-0089
Fax Number :
Provider Business Practice Location Address
First Line : 1218 RIVERCHASE DR
Second Line :
City : RICHMOND
State : TX
Zip : 77469-6264
Country : US
Telephone Number : 832-298-0089
Fax Number :
Authorized Official
Title or Position : COORDINATOR
Name : IFY OBI
Credential :
Telephone Number : 832-298-0089
Provider Enumeration Date : 12/23/2006
Last Update Date : 08/06/2024

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