Provider Demographics
NPI:1740262831
Name:GREGNELL LTD
Entity type:Organization
Organization Name:GREGNELL LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:PIWOWARCZYK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-837-1550
Mailing Address - Street 1:16851 E PARKVIEW AVE
Mailing Address - Street 2:P.O. BOX 20377
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85268-3992
Mailing Address - Country:US
Mailing Address - Phone:480-837-1550
Mailing Address - Fax:480-837-1811
Practice Address - Street 1:16851 E PARKVIEW AVE
Practice Address - Street 2:SUITE 201,202
Practice Address - City:FOUNTAIN HILLS
Practice Address - State:AZ
Practice Address - Zip Code:85268-3992
Practice Address - Country:US
Practice Address - Phone:480-837-1550
Practice Address - Fax:480-837-1811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-15
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health