MEDICARE: GEVIL HEALTH 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	261QA0600X	Adult Day Care Clinic/Center
2	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1942365606
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEVIL HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	1218 RIVERCHASE DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-6264
Country	:	US
Telephone Number	:	832-298-0089
Fax Number	:

Provider Business Practice Location Address
First Line	:	1218 RIVERCHASE DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-6264
Country	:	US
Telephone Number	:	832-298-0089
Fax Number	:

Authorized Official
Title or Position	:	COORDINATOR
Name	:	IFY OBI
Credential	:
Telephone Number	:	832-298-0089

Provider Enumeration Date	:	12/23/2006
Last Update Date	:	08/06/2024

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Directions to “GEVIL HEALTH SERVICES LLC ” Practice Location

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