Healthcare Provider Details

I. General information

NPI: 1639908494
Provider Name (Legal Business Name): GIFTED SPRINGS HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2024
Last Update Date: 07/30/2024
Certification Date: 07/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15082 LISA DR
MAPLE HTS OH
44137
US

IV. Provider business mailing address

15082 LISA DR
MAPLE HTS OH
44137
US

V. Phone/Fax

Practice location:
  • Phone: 404-246-7704
  • Fax:
Mailing address:
  • Phone: 404-246-7704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ROBIN TOWNSEND
Title or Position: CEO
Credential:
Phone: 404-246-7704