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Organization
GRANNYS IN HOME CARE, INC.
Active
Organization
GRANNYS IN HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NECOLE JAVAN DULING RN (NURSE)
(863) 808-3533
Entity
Organization
Contact information
Practice address
4415 FLORIDA NATIONAL DR STE 201, LAKELAND, FL 33813-1569
(863) 808-3533
Mailing address
PO BOX 91092, LAKELAND, FL 33804-1092
(863) 808-3533
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
—
NULL
163WA2000X
Administrator Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
Primary
—
NULL
163WH0200X
Home Health Registered Nurse
Primary
—
—
172A00000X
Driver
—
NULL
172A00000X
Driver
—
—
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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