GRANT COMMUNITY RESIDENTIAL HOME

FORT MYERS, FL
NPI1457853798
Entity TypeOrganization
Authorized ContactJAHPHET Y GRANT
Ahca Provider
239-935-9247
Organization Subpart ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2018-03-02
Last Update Date2018-03-02
Business Address
GRANT COMMUNITY RESIDENTIAL HOME
2252 WRIGHT STREET (A)
FORT MYERS, FL 33916
Phone number: 239-935-9247
Mailing Address
GRANT COMMUNITY RESIDENTIAL HOME
2252 WRIGHT STREET (A)
FORT MYERS, FL 33916
Phone number: 239-935-9247
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