Provider Demographics
NPI:1356526230
Name:GVN INC
Entity type:Organization
Organization Name:GVN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:671-649-6877
Mailing Address - Street 1:PO BOX 9663
Mailing Address - Street 2:SUITE 102
Mailing Address - City:TAMUNING
Mailing Address - State:GU
Mailing Address - Zip Code:96931-5663
Mailing Address - Country:US
Mailing Address - Phone:671-649-6877
Mailing Address - Fax:671-647-1606
Practice Address - Street 1:396 BRI BLDG. CHALAN SAN ANTONIO
Practice Address - Street 2:SUITE 102
Practice Address - City:TAMINING
Practice Address - State:GU
Practice Address - Zip Code:96913
Practice Address - Country:US
Practice Address - Phone:671-649-6877
Practice Address - Fax:671-649-1606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GU010708OtherAPPLICATION NPI