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NPI Code Detail

MEDICARE: GWIREINC.COM

MEDICARE: GWIREINC.COM
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
1251G00000XCommunity Based Hospice Care AgencyPENDINGCA

General Provider Information

NPI Number : 1548334980
Entity Type Code : Organization
Provider Name (Legal Business Name) : GWIREINC.COM
Provider Business Mailing Address
First Line : 1011 W OLIVE AVE
Second Line : SUITE B
City : BURBANK
State : CA
Zip : 91506-2293
Country : US
Telephone Number : 818-840-9767
Fax Number : 818-845-3870
Provider Business Practice Location Address
First Line : 1011 W OLIVE AVE
Second Line : SUITE B
City : BURBANK
State : CA
Zip : 91506-2293
Country : US
Telephone Number : 818-840-9767
Fax Number : 818-845-3870
Authorized Official
Title or Position : ADMINISTRATOR
Name : MISS LUISA E. BELLA
Credential : RN
Telephone Number : 818-840-9767
Provider Enumeration Date : 11/18/2006
Last Update Date : 08/22/2020

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