Provider Demographics
NPI:1689934804
Name:GLOBAL BASED SERVICES
Entity Type:Organization
Organization Name:GLOBAL BASED SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WISHOM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:281-584-0348
Mailing Address - Street 1:800 TULLY SUITE 240X
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-5435
Mailing Address - Country:US
Mailing Address - Phone:281-741-7801
Mailing Address - Fax:
Practice Address - Street 1:800 TULLY SUITE 240X
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-5435
Practice Address - Country:US
Practice Address - Phone:281-741-7801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health