Provider Demographics
NPI:1831374990
Name:GERIZIM HEALTHCARE SERVICES
Entity type:Organization
Organization Name:GERIZIM HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DOLAPO
Authorized Official - Middle Name:MOLARA
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-725-8042
Mailing Address - Street 1:11914 N HANWORTH DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77031-2610
Mailing Address - Country:US
Mailing Address - Phone:713-725-8042
Mailing Address - Fax:
Practice Address - Street 1:11914 N HANWORTH DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-2610
Practice Address - Country:US
Practice Address - Phone:713-725-8042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion