Provider Demographics
NPI:1972089498
Name:GC VENTURES AND CO.
Entity type:Organization
Organization Name:GC VENTURES AND CO.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:EUGENA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LUCERO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:505-508-2752
Mailing Address - Street 1:6855 4TH ST NW STE B-2
Mailing Address - Street 2:
Mailing Address - City:LOS RANCHOS
Mailing Address - State:NM
Mailing Address - Zip Code:87107-6100
Mailing Address - Country:US
Mailing Address - Phone:505-508-2752
Mailing Address - Fax:
Practice Address - Street 1:6855 4TH ST NW STE B-2
Practice Address - Street 2:
Practice Address - City:LOS RANCHOS
Practice Address - State:NM
Practice Address - Zip Code:87107-6100
Practice Address - Country:US
Practice Address - Phone:505-508-2752
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-17
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRN-251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care