Provider Demographics
NPI:1851680250
Name:GMMALTD INC
Entity Type:Organization
Organization Name:GMMALTD INC
Other - Org Name:HOME HEALTH SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE PRACTITIONER/OWNER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUNDERS-HUTSON
Authorized Official - Suffix:
Authorized Official - Credentials:BHS-BCP CERTIFIED
Authorized Official - Phone:800-481-2078
Mailing Address - Street 1:684 STIRLING ST
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48340-3161
Mailing Address - Country:US
Mailing Address - Phone:800-481-2078
Mailing Address - Fax:800-481-2078
Practice Address - Street 1:684 STIRLING ST
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48340-3161
Practice Address - Country:US
Practice Address - Phone:800-481-2078
Practice Address - Fax:800-481-2078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health