Provider Demographics
NPI:1326646142
Name:GILEAD HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:GILEAD HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:OJORBONETAN
Authorized Official - Last Name:EJEH
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:703-398-9946
Mailing Address - Street 1:17378 SLIGO LOOP
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22026
Mailing Address - Country:US
Mailing Address - Phone:703-398-9946
Mailing Address - Fax:
Practice Address - Street 1:17378 SLIGO LOOP
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22026
Practice Address - Country:US
Practice Address - Phone:703-398-9946
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GILDEAD HEALTHCARE SERVICES, L
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health