Provider Demographics
NPI:1235854027
Name:GWEN'S QUALITY CARE INC.
Entity Type:Organization
Organization Name:GWEN'S QUALITY CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GWENDOLYNN
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:731-616-6911
Mailing Address - Street 1:38 OLD HICKORY CV
Mailing Address - Street 2:SUITE E 200
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305
Mailing Address - Country:US
Mailing Address - Phone:731-616-6911
Mailing Address - Fax:
Practice Address - Street 1:38 OLD HICKORY CV
Practice Address - Street 2:SUITE E 200
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305
Practice Address - Country:US
Practice Address - Phone:731-616-6911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care