Provider Demographics
NPI:1205720349
Name:TOMMY GS PLACE LLC
Entity type:Organization
Organization Name:TOMMY GS PLACE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RASBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-626-5675
Mailing Address - Street 1:6125 CHERRY HILL CIR
Mailing Address - Street 2:
Mailing Address - City:PACE
Mailing Address - State:FL
Mailing Address - Zip Code:32571-9213
Mailing Address - Country:US
Mailing Address - Phone:931-626-5675
Mailing Address - Fax:
Practice Address - Street 1:6125 CHERRY HILL CIR
Practice Address - Street 2:
Practice Address - City:PACE
Practice Address - State:FL
Practice Address - Zip Code:32571-9213
Practice Address - Country:US
Practice Address - Phone:931-626-5675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services