Provider Demographics
NPI:1053887729
Name:GAUZE ENTERPRISES
Entity type:Organization
Organization Name:GAUZE ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:GAY
Authorized Official - Last Name:GAUZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-638-1029
Mailing Address - Street 1:4697 HIGHWAY 707
Mailing Address - Street 2:
Mailing Address - City:LOUISA
Mailing Address - State:KY
Mailing Address - Zip Code:41230-7298
Mailing Address - Country:US
Mailing Address - Phone:606-686-2880
Mailing Address - Fax:
Practice Address - Street 1:214 N JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:LOUISA
Practice Address - State:KY
Practice Address - Zip Code:41230-1110
Practice Address - Country:US
Practice Address - Phone:606-638-1029
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-19
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy