Organization Name: | GSB CARE, LLC |
NPI Number: | 1013261809 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JIMMY D CHRISTIAN (MANAGING DIRECTOR) |
Mailing Address: | 1004 Rock Hill Pkwy Lithia Springs |
State: | GA US |
Postal Code: | 301223631 |
Phone Number: | 7707329092 |
Fax Number: | 4045855093 |
NPI Enumeration Date: | 11/01/2012 |
NPI Last Update Date: | 11/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 048-R-0736 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |