Healthcare Provider Details

I. General information

NPI: 1902024474
Provider Name (Legal Business Name): GALLIA HEALTH PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 BRIARWOOD RD
GALLIPOLIS OH
45631-8419
US

IV. Provider business mailing address

300 BRIARWOOD RD
GALLIPOLIS OH
45631-8419
US

V. Phone/Fax

Practice location:
  • Phone: 740-441-9633
  • Fax: 740-441-9026
Mailing address:
  • Phone: 740-441-9633
  • Fax: 740-441-9026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number2277R
License Number StateOH

VIII. Authorized Official

Name: MR. THOMAS TOPE
Title or Position: PRESIDENT CEO
Credential:
Phone: 740-446-5000