Provider Demographics
NPI:1225572340
Name:NNG ENTERPRISES INC
Entity Type:Organization
Organization Name:NNG ENTERPRISES INC
Other - Org Name:AGING GRACEFULLY PHC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GULZAR
Authorized Official - Middle Name:
Authorized Official - Last Name:MALIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-365-4853
Mailing Address - Street 1:3319 PLEASANTON ROAD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-6197
Mailing Address - Country:US
Mailing Address - Phone:210-365-4853
Mailing Address - Fax:
Practice Address - Street 1:3319 PLEASANTON ROAD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-6197
Practice Address - Country:US
Practice Address - Phone:210-365-4853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-08
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home