Provider Demographics
NPI:1154568616
Name:GFG MANAGEMENT SERVICES, LLC
Entity type:Organization
Organization Name:GFG MANAGEMENT SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAVA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-252-7218
Mailing Address - Street 1:144 N UTICA AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79416-3002
Mailing Address - Country:US
Mailing Address - Phone:806-252-7218
Mailing Address - Fax:806-385-4229
Practice Address - Street 1:1609 W. WAYLON JENNINGS BLVD.
Practice Address - Street 2:
Practice Address - City:LITTLEFIELD
Practice Address - State:TX
Practice Address - Zip Code:79339-3716
Practice Address - Country:US
Practice Address - Phone:806-385-4544
Practice Address - Fax:806-385-4229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-20
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility