| NPI | 1386189157 |
|---|---|
| Doing Business As | GRANGER FAMILY PROVIDER SERVICES |
| Entity Type | Organization |
| Authorized Contact | EDDIE LEE HUBERT President 704-942-4943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |