Healthcare Provider Details

I. General information

NPI: 1255747838
Provider Name (Legal Business Name): GVNA HEALTHCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2014
Last Update Date: 07/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 PEARLY LANE
GARDNER MA
01440-1736
US

IV. Provider business mailing address

34 PEARLY LANE
GARDNER MA
01440-1736
US

V. Phone/Fax

Practice location:
  • Phone: 978-632-1230
  • Fax: 978-632-4513
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

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