Healthcare Provider Details

I. General information

NPI: 1316373525
Provider Name (Legal Business Name): G. G. & W. HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2013
Last Update Date: 12/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 EAST MARSHALL
VAN ALSTYNE TX
75495
US

IV. Provider business mailing address

PO BOX 864
VAN ALSTYNE TX
75495-0864
US

V. Phone/Fax

Practice location:
  • Phone: 903-482-6400
  • Fax:
Mailing address:
  • Phone: 903-482-6400
  • 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: NATHAN WILLIAMS
Title or Position: ADMINISTRATOR
Credential:
Phone: 903-482-6400