Provider Demographics
NPI:1245096569
Name:GENTLE SPRINGS HEALTHCARE SERVICES
Entity type:Organization
Organization Name:GENTLE SPRINGS HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IFIOK
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-278-3745
Mailing Address - Street 1:121 REUNION PL
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30102-0101
Mailing Address - Country:US
Mailing Address - Phone:832-278-3745
Mailing Address - Fax:
Practice Address - Street 1:121 REUNION PL
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30102-0101
Practice Address - Country:US
Practice Address - Phone:832-278-3745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health