Provider Demographics
NPI:1427495753
Name:GWYNN'S CONSULTING, LLC
Entity type:Organization
Organization Name:GWYNN'S CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE CONSULTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:LAWSON
Authorized Official - Last Name:GWYNN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:336-349-3610
Mailing Address - Street 1:PO BOX 2361
Mailing Address - Street 2:
Mailing Address - City:REIDSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27323-2361
Mailing Address - Country:US
Mailing Address - Phone:336-349-3610
Mailing Address - Fax:336-342-4473
Practice Address - Street 1:143 CRUTCHFIELD RD
Practice Address - Street 2:
Practice Address - City:REIDSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27320-8261
Practice Address - Country:US
Practice Address - Phone:336-349-3610
Practice Address - Fax:336-342-4473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home