Organization
GBA HOLDING INC
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED OFFICIAL)
(806) 998-5340
Entity
Organization
Contact information
Practice address
1928 LOCKWOOD, TAHOKA, TX 79373
(806) 998-5340
(806) 998-4958
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
011445
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000030
—
TX
Enumeration date
03/22/2006
Last updated
12/01/2023
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