Provider Demographics
NPI:1598974743
Name:GT ENTERPRISES
Entity Type:Organization
Organization Name:GT ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:STEFFEN
Authorized Official - Suffix:
Authorized Official - Credentials:D,D,S
Authorized Official - Phone:515-465-2614
Mailing Address - Street 1:19501 180TH STREET
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:IA
Mailing Address - Zip Code:50220-6330
Mailing Address - Country:US
Mailing Address - Phone:515-465-2614
Mailing Address - Fax:515-465-9390
Practice Address - Street 1:19501 180TH STREET
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:IA
Practice Address - Zip Code:50220-6330
Practice Address - Country:US
Practice Address - Phone:515-465-2614
Practice Address - Fax:515-465-9390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness