Provider Demographics
NPI:1801577648
Name:GLOBAL HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:GLOBAL HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/ PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:AKANINYENE
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:ETUKUDOH
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:623-455-1558
Mailing Address - Street 1:14233 W POINSETTIA DR
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85379-4910
Mailing Address - Country:US
Mailing Address - Phone:623-455-1558
Mailing Address - Fax:
Practice Address - Street 1:14233 W POINSETTIA DR
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85379-4910
Practice Address - Country:US
Practice Address - Phone:623-455-1558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)