| NPI | 1629499256 |
|---|---|
| Doing Business As | GRANNY NANNIES |
| Entity Type | Organization |
| Authorized Contact | MARK MILITELLO President 907-222-2925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: AK 990584) |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2013-12-27 |