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General NPI Number Information
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NPI Number | 1659852119
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Entity Type | Organization
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Legal Business Name | GIMAG HEALTHCARE
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Dates
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Enumeration Date | 08/23/2018
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Last Update Date | 04/01/2022
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Provider Practice Location Address
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Address Line | 4049 1ST ST STE 135
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City | LIVERMORE
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State | CA
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Zip | 94551-4986
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Country | US
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Telephone | 925-273-7700
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Fax | 925-273-7802
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Provider Business Mailing Address
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Address Line | 4049 1ST ST STE 135
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City | LIVERMORE
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State | CA
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Zip | 94551-4986
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Country | US
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Telephone | 925-273-7700
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Fax | 925-273-7802
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | OLUBUSAYO P EKUNBOYEJO
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Credential | RN
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Telephone | 925-273-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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