MEDICARE: GCEP GROUP SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide
2	372600000X	Adult Companion

General Provider Information

NPI Number	:	1184855470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GCEP GROUP SERVICES LLC

Provider Business Mailing Address
First Line	:	16010 PASADERO DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-2921
Country	:	US
Telephone Number	:	832-877-1340
Fax Number	:	281-383-9961

Provider Business Practice Location Address
First Line	:	16010 PASADERO DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-2921
Country	:	US
Telephone Number	:	832-877-1340
Fax Number	:	281-383-9961

Authorized Official
Title or Position	:	CEO
Name	:	MR. YOUNG OKORO ANYANWU
Credential	:
Telephone Number	:	832-877-1340

Provider Enumeration Date	:	08/04/2009
Last Update Date	:	08/05/2009

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Directions to “GCEP GROUP SERVICES LLC ” Practice Location

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