Provider Demographics
NPI:1437821212
Name:GENTLE CARE DEVELOPMENT CENTER INC
Entity Type:Organization
Organization Name:GENTLE CARE DEVELOPMENT CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:UGAAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-335-5005
Mailing Address - Street 1:6901 W 84TH ST
Mailing Address - Street 2:SUITE 221
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55438
Mailing Address - Country:US
Mailing Address - Phone:770-335-5005
Mailing Address - Fax:
Practice Address - Street 1:6901 W 84TH ST.
Practice Address - Street 2:SUITE 221
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55438
Practice Address - Country:US
Practice Address - Phone:770-335-5005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health