# GRANDER HOMECARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 315 S JUPITER ROAD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427889674
- **Authorized official:** VINCENTIA A MARSHALL (ADMINISTRATOR)
- **Authorized official phone:** (703) 814-0613

## Contact information

- **Practice address:** 101 MASSEY DR, SUFFOLK, VA 23434-9348
- **Practice address phone:** (703) 814-0613
- **Mailing address:** 101 MASSEY DR, SUFFOLK, VA 23434-9348
- **Mailing address phone:** (703) 814-0613

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/09/2024
- **Last updated:** 08/09/2024