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Organization
GROTJOHAN INSURANCE INC
Active
Organization
GROTJOHAN INSURANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS DAVID GROTJOHAN (OWNER/OPERATOR)
(954) 261-7058
Entity
Organization
Contact information
Practice address
5881 NW 16TH PL APT 219, SUNRISE, FL 33313-4776
(954) 683-0589
Mailing address
PO BOX 14878, FORT LAUDERDALE, FL 33302-4878
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
NULL
372600000X
Adult Companion
Primary
—
NULL
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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