Provider Demographics
NPI:1184261505
Name:GULLA CONSULTING GROUP INC
Entity type:Organization
Organization Name:GULLA CONSULTING GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:VAIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALJAJAWI
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:248-703-1157
Mailing Address - Street 1:1259 TENNYSON DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-5222
Mailing Address - Country:US
Mailing Address - Phone:248-703-1157
Mailing Address - Fax:
Practice Address - Street 1:35450 DEQUINDRE RD STE 106
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-4810
Practice Address - Country:US
Practice Address - Phone:586-999-5085
Practice Address - Fax:586-999-5085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-04
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care