Organization Name: | GEMM SENIOR SERVICES INC |
NPI Number: | 1114117298 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GLENESHA L MOYE (DIRECTOR OF SERVICES/OWNER) |
Mailing Address: | 525 Shelby Ave Nashville |
State: | TN US |
Postal Code: | 372064107 |
Phone Number: | 6154859536 |
Fax Number: | |
NPI Enumeration Date: | 07/26/2007 |
NPI Last Update Date: | 11/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 01045184A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |