Provider Demographics
NPI:1134900632
Name:GT INDEPENDENCE
Entity type:Organization
Organization Name:GT INDEPENDENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEED FOR CARE
Authorized Official - Prefix:
Authorized Official - First Name:ARTRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-889-1894
Mailing Address - Street 1:2501 25TH ST SE APT 417
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-3253
Mailing Address - Country:US
Mailing Address - Phone:202-889-1894
Mailing Address - Fax:
Practice Address - Street 1:2501 25TH ST SE APT 417
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-3253
Practice Address - Country:US
Practice Address - Phone:202-889-1894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MY WAY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health