Provider Demographics
NPI:1104434992
Name:GRATITUDE HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:GRATITUDE HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCISCA
Authorized Official - Middle Name:
Authorized Official - Last Name:AKOH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:775-232-2907
Mailing Address - Street 1:2831 BUSINESS PARK CT STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-9010
Mailing Address - Country:US
Mailing Address - Phone:725-600-3597
Mailing Address - Fax:725-223-4688
Practice Address - Street 1:2831 BUSINESS PARK CT STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-9010
Practice Address - Country:US
Practice Address - Phone:725-600-3597
Practice Address - Fax:725-223-4688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-17
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health