Go Go INC
NPI #1790772689 in Gladewater, Texas
Provider Information
- NPI Number
- 1790772689
- Entity Type
- Organization
- Organization Name
- Go Go INC
- Primary Specialty
- Skilled Nursing Facility - Nursing Care, Pediatric
- Enumeration Date
- Oct 5, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2200 W UPSHUR AVE
- City
- Gladewater
- State
- Texas
- ZIP Code
- 75647-4328
- Phone
- (903) 845-2181
Authorized Official
- Name
- MRS. MARY T. MINOR, LVN
- Title
- MDS/CARE PLAN COORDINATOR
- Phone
- (903) 845-2181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility - Nursing Care, Pediatric — Nursing Care, Pediatric |
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