Provider Demographics
NPI:1861620569
Name:GLOBAL IMEX INC
Entity type:Organization
Organization Name:GLOBAL IMEX INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:AGWAZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-535-3143
Mailing Address - Street 1:820 GIBBON ST STE 201B
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-4164
Mailing Address - Country:US
Mailing Address - Phone:703-535-3143
Mailing Address - Fax:703-535-3143
Practice Address - Street 1:820 GIBBON ST STE 201B
Practice Address - Street 2:201-B
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-4164
Practice Address - Country:US
Practice Address - Phone:703-535-3143
Practice Address - Fax:703-535-3143
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GLOBAL IMEX INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-09571251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health