Provider Demographics
NPI:1083473888
Name:GOGO SENIOR CARE LLC
Entity Type:Organization
Organization Name:GOGO SENIOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRISCA
Authorized Official - Middle Name:LANGA
Authorized Official - Last Name:OUELLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:603-930-0137
Mailing Address - Street 1:56 MARIE AVE
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-3557
Mailing Address - Country:US
Mailing Address - Phone:603-930-0137
Mailing Address - Fax:603-718-8347
Practice Address - Street 1:56 MARIE AVE
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-3557
Practice Address - Country:US
Practice Address - Phone:603-930-0137
Practice Address - Fax:603-718-8347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health