# GROTJOHAN INSURANCE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083453633
- **Authorized official:** MR. NICHOLAS DAVID GROTJOHAN (OWNER/OPERATOR)
- **Authorized official phone:** (954) 261-7058

## Contact information

- **Practice address:** 5881 NW 16TH PL APT 219, SUNRISE, FL 33313-4776
- **Practice address phone:** (954) 683-0589
- **Mailing address:** PO BOX 14878, FORT LAUDERDALE, FL 33302-4878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 372600000X | Adult Companion | — | NULL | Yes |
| 372600000X | Adult Companion | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2024
- **Last updated:** 05/22/2024