| NPI | 1174782346 |
|---|---|
| Doing Business As | GRANNY NANNIES |
| Entity Type | Organization |
| Authorized Contact | MARY LOU WIELOSZYNSKI President/CEO 352-536-2511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL NR30211186) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL 30211348) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2012-11-26 |