| NPI | 1386996692 |
|---|---|
| Doing Business As | GRANNY NANNIES |
| Entity Type | Organization |
| Authorized Contact | STANLEY WOGHIREN Administrator 772-807-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 30211265) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-10 |