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Organization
GRANNY NANNIES OF NORTH AMERICA LLC
Active
Organization
GRANNY NANNIES OF NORTH AMERICA LLC
Active
Other names
Granny NANNIES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT DOUGLAS HODGSON (MEMBER)
(407) 682-7758
Entity
Organization
Contact information
Practice address
510 CO RD 466 SUITE 207 #F, LADY LAKE, FL 32159
(352) 365-7866
Mailing address
1912 BOOTHE CIR STE 300, LONGWOOD, FL 32750-6709
(407) 682-7758
(407) 682-4569
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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