Provider Demographics
NPI:1437794526
Name:GATU AFC
Entity Type:Organization
Organization Name:GATU AFC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOISE
Authorized Official - Middle Name:C
Authorized Official - Last Name:GATU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-680-6587
Mailing Address - Street 1:2502 CAPITAL AVE SW
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-4104
Mailing Address - Country:US
Mailing Address - Phone:617-680-6587
Mailing Address - Fax:
Practice Address - Street 1:2502 CAPITAL AVE SW
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-4104
Practice Address - Country:US
Practice Address - Phone:617-680-6587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances