Organization Name: | GBA HOLDING INC |
NPI Number: | 1164488979 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUTH SCHWARTZ (ASSISTANT SECRETARY) |
Mailing Address: | 1312 Texas Ave Lubbock |
State: | TX US |
Postal Code: | 794014034 |
Phone Number: | 8064726900 |
Fax Number: | 8067885571 |
NPI Enumeration Date: | 04/21/2006 |
NPI Last Update Date: | 08/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 011445 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |