Provider Demographics
NPI:1922790914
Name:G&D RESOURCE HUB LLC
Entity Type:Organization
Organization Name:G&D RESOURCE HUB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER/CARE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE-ANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:CHW
Authorized Official - Phone:614-622-5155
Mailing Address - Street 1:1234 S CHAMPION AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43206-3028
Mailing Address - Country:US
Mailing Address - Phone:614-622-5155
Mailing Address - Fax:
Practice Address - Street 1:1234 S CHAMPION AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43206-3028
Practice Address - Country:US
Practice Address - Phone:614-622-5155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care
No347C00000XTransportation ServicesPrivate Vehicle