Provider Demographics
NPI:1053004994
Name:G & L HEALTHCARE SERVICES, INC
Entity type:Organization
Organization Name:G & L HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LOVETH
Authorized Official - Middle Name:C
Authorized Official - Last Name:OGBOI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:469-878-4722
Mailing Address - Street 1:2225 HOLLOW WAY
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75041-2189
Mailing Address - Country:US
Mailing Address - Phone:469-878-4722
Mailing Address - Fax:
Practice Address - Street 1:2225 HOLLOW WAY
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-2189
Practice Address - Country:US
Practice Address - Phone:469-878-4722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-26
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty