Provider Demographics
NPI:1801023627
Name:GLOBAL GOSPEL GARDEN SOCIAL SERVICES
Entity Type:Organization
Organization Name:GLOBAL GOSPEL GARDEN SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:NYEMAH
Authorized Official - Suffix:
Authorized Official - Credentials:CMA
Authorized Official - Phone:952-292-1458
Mailing Address - Street 1:9721 UTICA RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437-2091
Mailing Address - Country:US
Mailing Address - Phone:952-405-8101
Mailing Address - Fax:952-831-9934
Practice Address - Street 1:2560 VIERLING DR E
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-3731
Practice Address - Country:US
Practice Address - Phone:952-405-8101
Practice Address - Fax:952-831-9934
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GLOBAL GOSPEL GARDEN MINISTRIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-06-18
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN344140251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care