Healthcare Provider Details

I. General information

NPI: 1558777375
Provider Name (Legal Business Name): GVNA HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2014
Last Update Date: 07/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1471 MAIN STREET REAR
ATHOL MA
01331-2637
US

IV. Provider business mailing address

34 PEARLY LANE
GARDNER MA
01440-1736
US

V. Phone/Fax

Practice location:
  • Phone: 978-248-9530
  • Fax: 978-632-4513
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ELAINE FLUET
Title or Position: PRESIDENT/CEO
Credential: RN, MSN
Phone: 978-632-1230