Healthcare Provider Details

I. General information

NPI: 1013422542
Provider Name (Legal Business Name): GAUDET & COMPANY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2017
Last Update Date: 12/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2260 PESNELL CT APT 4A
MOBILE AL
36695-3805
US

IV. Provider business mailing address

2260 PESNELL CT APT 4A
MOBILE AL
36695-3805
US

V. Phone/Fax

Practice location:
  • Phone: 251-459-8671
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: NEAL GAUDET
Title or Position: OWNER
Credential:
Phone: 251-459-8671