Provider Demographics
NPI:1952964678
Name:GHIALEEX LLC
Entity Type:Organization
Organization Name:GHIALEEX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIEANGE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-330-2282
Mailing Address - Street 1:129 AMHERST AVE
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-3169
Mailing Address - Country:US
Mailing Address - Phone:781-330-2282
Mailing Address - Fax:
Practice Address - Street 1:129 AMHERST AVE
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-3169
Practice Address - Country:US
Practice Address - Phone:781-330-2282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-18
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care