Healthcare Provider Details

I. General information

NPI: 1316286495
Provider Name (Legal Business Name): GNL MANAGEMENT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2013
Last Update Date: 02/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 HOOKS AVE
DONNA TX
78537-3341
US

IV. Provider business mailing address

1205 HOOKS AVE
DONNA TX
78537-3341
US

V. Phone/Fax

Practice location:
  • Phone: 956-461-6600
  • Fax: 956-461-6602
Mailing address:
  • Phone: 956-461-6600
  • Fax: 956-461-6602

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: MR. GABRIEL SANCHEZ
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 956-461-6600