Healthcare Provider Details

I. General information

NPI: 1871018374
Provider Name (Legal Business Name): GILAH HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 N ORANGE AVE STE 500
ORLANDO FL
32801-2459
US

IV. Provider business mailing address

37 N ORANGE AVE STE 500
ORLANDO FL
32801-2459
US

V. Phone/Fax

Practice location:
  • Phone: 407-926-4016
  • Fax:
Mailing address:
  • Phone: 407-926-4016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: WALTER GIBSON
Title or Position: OWNER
Credential:
Phone: 407-683-7649