Provider Demographics
NPI:1598227803
Name:GANDG HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:GANDG HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LIENGU
Authorized Official - Middle Name:A
Authorized Official - Last Name:LITUMBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-868-2292
Mailing Address - Street 1:2085 TACKETTS VILLAGE SQ APT 103
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-3422
Mailing Address - Country:US
Mailing Address - Phone:703-868-2292
Mailing Address - Fax:
Practice Address - Street 1:2085 TACKETTS VILLAGE SQ APT 103
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-3422
Practice Address - Country:US
Practice Address - Phone:703-868-2292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-04
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health