# GRANNY'S NANNY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568712404
- **Authorized official:** NANCY A CRUDELE (PRESIDENT)
- **Authorized official phone:** (516) 749-2994

## Contact information

- **Practice address:** 22 HURON AVE, MASSAPEQUA, NY 11758-7545
- **Practice address phone:** (516) 749-2994
- **Mailing address:** 22 HURON AVE, MASSAPEQUA, NY 11758-7545
- **Mailing address phone:** (516) 749-2994

## Taxonomy

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

## Other

- **Enumeration date:** 09/18/2012
- **Last updated:** 09/18/2012