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Organization

GRANDPA HOME HEALTH, LLC

Active
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Organization

GRANDPA HOME HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY FERNANDEZ (ADMINISTRATOR)
(561) 774-8569
Entity
Organization

Contact information

Practice address
1499 FOREST HILL BLVD STE 119, WEST PALM BEACH, FL 33406-6050
(561) 774-8569
(561) 763-1300
Mailing address
1499 FOREST HILL BLVD STE 119, WEST PALM BEACH, FL 33406-6050
(561) 774-8569
(561) 763-1300

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
NULL
163WH0200X
Home Health Registered Nurse
Primary
—
—

Other

Enumeration date
07/15/2020
Last updated
12/20/2022
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