# G2M4 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Home Instead
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215690557
- **Authorized official:** MR. MARK ANTHONY C SANTIAGO (OWNER)
- **Authorized official phone:** (760) 593-8262

## Contact information

- **Practice address:** 549 NW LAKE WHITNEY PL STE 106, PORT ST LUCIE, FL 34986-1606
- **Practice address phone:** (772) 924-3210
- **Practice address fax:** (772) 924-3210
- **Mailing address:** 549 NW LAKE WHITNEY PL STE 106, PORT ST LUCIE, FL 34986-1606
- **Mailing address phone:** (772) 924-3210
- **Mailing address fax:** (772) 924-3210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 10/13/2021
- **Last updated:** 03/06/2024