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Organization
G2M4 LLC
Active
Organization
G2M4 LLC
Active
Other names
Home Instead
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ANTHONY C SANTIAGO (OWNER)
(760) 593-8262
Entity
Organization
Contact information
Practice address
549 NW LAKE WHITNEY PL STE 106, PORT ST LUCIE, FL 34986-1606
(772) 924-3210
(772) 924-3210
Mailing address
549 NW LAKE WHITNEY PL STE 106, PORT ST LUCIE, FL 34986-1606
(772) 924-3210
(772) 924-3210
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
10/13/2021
Last updated
03/06/2024
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