Organization
GANTT HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIA BOGGS (CEO)
(740) 326-6097
Entity
Organization
Contact information
Practice address
300 N MULBERRY ST, MOUNT VERNON, OH 43050-2056
(740) 326-6097
Mailing address
PO BOX 990, MOUNT VERNON, OH 43050-7990
(740) 501-8685
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4200582
—
OH
Enumeration date
03/12/2021
Last updated
03/12/2021
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