Healthcare Provider Details

I. General information

NPI: 1093651382
Provider Name (Legal Business Name): GB ONLINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 9TH ST SW
SPRINGHILL LA
71075-3003
US

IV. Provider business mailing address

207 9TH ST SW
SPRINGHILL LA
71075-3003
US

V. Phone/Fax

Practice location:
  • Phone: 202-478-4724
  • Fax:
Mailing address:
  • Phone: 202-478-4724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: RITA COVINGTON
Title or Position: FOUNDER
Credential:
Phone: 202-379-1749