Provider Demographics
NPI:1780041988
Name:GAROZY HEALTHCARE SERVICE, LLC
Entity Type:Organization
Organization Name:GAROZY HEALTHCARE SERVICE, LLC
Other - Org Name:GAROZY HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:MENSAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-831-9980
Mailing Address - Street 1:11520 N CENTRAL EXPY
Mailing Address - Street 2:225
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-6605
Mailing Address - Country:US
Mailing Address - Phone:214-348-1400
Mailing Address - Fax:214-348-1402
Practice Address - Street 1:11520 NORTH CENTRAL EXPRESSWAY
Practice Address - Street 2:225
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243
Practice Address - Country:US
Practice Address - Phone:214-348-1400
Practice Address - Fax:214-348-1402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-20
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health