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Organization

GB FAMILY HEALTHCARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NELLY E. CASIANO (GENERAL MANAGER/OWNER)
(787) 899-7884
Entity
Organization

Contact information

Practice address
CALLE AMISTAD #8, LAJAS, PR 00667-0000
(787) 899-7884
(787) 899-7884
Mailing address
PO BOX 644, LAJAS, PR 00667-0644
(787) 899-7884
(787) 899-7884

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
APM-328
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50206
PREFFERED MEDICARE CHOICE
PR
01
AGENCY #7
MCS CLASSICARE
PR
Enumeration date
10/03/2006
Last updated
10/02/2008
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