Gumbo Llc

LBN: Gumbo Llc
Gumbo Llc is an health care organization with primary practice located at 2618 River Ave , Mishawaka IN 46544-1568. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Gumbo Llc can be contacted via phone (269) 240-7881, or through Gumbo, Michael via phone (269) 240-7881.

Contact Information

Primary practice address
2618 River Ave Mishawaka IN 46544-1568
Phone: (269) 240-7881
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gumbo, Michael R.N.,BSN
Phone: (269) 240-7881

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 28188157A Indiana

Profile Details

NPI number 1982000964
LBN Legal business name Gumbo Llc
DBA Doing business as
Authorized official Gumbo, Michael R.N.,BSN
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2014
Last updated Nov 18th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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