Organization
GIVHAN BOY LLC
Active
Other names
Givhan Boy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TAVAURUS GOREE (OWNER)
(662) 321-0703
Entity
Organization
Contact information
Practice address
512 CREEK MIST CT, SUWANEE, GA 30024-3759
(662) 321-0703
Mailing address
512 CREEK MIST CT, SUWANEE, GA 30024-3759
(662) 321-0703
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
12/23/2022
Last updated
12/23/2022
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