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Organization
SIRAGUSA LLC DBA GRANNY NANNIES
Active
Organization
SIRAGUSA LLC DBA GRANNY NANNIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODI EARLE (DIRECTOR OF OPERATIONS)
(813) 254-1299
Entity
Organization
Contact information
Practice address
3902 HENDERSON BLVD, SUITE 200, TAMPA, FL 33629-5038
(813) 254-1299
(813) 877-6385
Mailing address
3902 HENDERSON BLVD, SUITE 200, TAMPA, FL 33629-5038
(813) 254-1299
(813) 877-6385
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
30211147
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
684866401
—
FL
Enumeration date
12/09/2015
Last updated
12/09/2015
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