Organization
GBA WEST, LLC
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORZIED OFFICIAL)
(325) 728-2657
Entity
Organization
Contact information
Practice address
271 WALNUT ST, COLORADO CITY, TX 79512-6318
(325) 728-2657
(325) 728-3527
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
012263
TX
Other
Enumeration date
07/14/2008
Last updated
11/30/2023
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