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 |