Provider Demographics
NPI:1598410755
Name:GIRMAL ENTERPRISES LLC
Entity Type:Organization
Organization Name:GIRMAL ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GIRMUS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:402-443-4798
Mailing Address - Street 1:PO BOX 367
Mailing Address - Street 2:
Mailing Address - City:WAHOO
Mailing Address - State:NE
Mailing Address - Zip Code:68066-0367
Mailing Address - Country:US
Mailing Address - Phone:402-443-4798
Mailing Address - Fax:402-443-1586
Practice Address - Street 1:141 E 5TH ST
Practice Address - Street 2:
Practice Address - City:WAHOO
Practice Address - State:NE
Practice Address - Zip Code:68066-1922
Practice Address - Country:US
Practice Address - Phone:402-443-4798
Practice Address - Fax:402-443-1586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based