| NPI | 1760604664 |
|---|---|
| Doing Business As | GRANNY NANNIES |
| Entity Type | Organization |
| Authorized Contact | ROBERT DOUGLAS HODGSON Member 407-682-7758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2022-08-05 |