MEDICARE: GDM 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	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497381370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GDM SERVICES LLC

Provider Business Mailing Address
First Line	:	5810 SOUTHWYCK BLVD # 205P
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-1518
Country	:	US
Telephone Number	:	567-742-7266
Fax Number	:	567-742-7266

Provider Business Practice Location Address
First Line	:	5810 SOUTHWYCK BLVD # 205P
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-1518
Country	:	US
Telephone Number	:	567-742-7266
Fax Number	:	567-742-7206

Authorized Official
Title or Position	:	CEO
Name	:	MISS GENESSEE MITCHELL
Credential	:
Telephone Number	:	567-742-7266

Provider Enumeration Date	:	03/23/2020
Last Update Date	:	06/23/2026

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Directions to “GDM SERVICES LLC ” Practice Location

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