Healthcare Provider Details

I. General information

NPI: 1982249207
Provider Name (Legal Business Name): G&O ENTERPRISE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2019
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1404 TERRITORIAL RD. W.
BATTLE CREEK MI
49015
US

IV. Provider business mailing address

1404 TERRITORIAL RD. W.
BATTLE CREEK MI
49015
US

V. Phone/Fax

Practice location:
  • Phone: 269-964-8125
  • Fax:
Mailing address:
  • Phone: 269-986-9631
  • 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: MR. GARTH D HUTTON
Title or Position: ADMINISTRATOR
Credential: NP
Phone: 408-921-7062