Provider Demographics
NPI:1235498841
Name:THE G&L FAMILY OF CAREGIVERS, LLC
Entity Type:Organization
Organization Name:THE G&L FAMILY OF CAREGIVERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEWART
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:GRATLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-701-0295
Mailing Address - Street 1:1717 WOODSTEAD CT
Mailing Address - Street 2:SUITE 104
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1448
Mailing Address - Country:US
Mailing Address - Phone:281-701-0295
Mailing Address - Fax:281-966-1510
Practice Address - Street 1:2002 TIMBERLOCH PL
Practice Address - Street 2:SUITE 200
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1171
Practice Address - Country:US
Practice Address - Phone:281-701-0295
Practice Address - Fax:281-966-1510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-16
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health