Gwd Assisted Living LLC

NPI #1174298483 in Hazelwood, Missouri

Provider Information

NPI Number: 1174298483
Entity Type: Organization
Organization Name: Gwd Assisted Living LLC
Primary Specialty: Home Health
Enumeration Date: Aug 10, 2021
Last Updated: Aug 10, 2021

Practice Location

Address: 11423 SAINT CHARLES ROCK RD
City: Hazelwood
State: Missouri
ZIP Code: 63044-2724
Phone: (314) 246-9852

Authorized Official

Name: MRS. VERNISIA WHITE
Title: BUSINESS OWNER
Phone: (314) 246-9852

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Community Health — Community Health	261QC1500X
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Residential Treatment Facility, Physical Disabilities	320700000X
Home Health	251E00000X	Primary

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