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 |