# KIAWAH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Griswold Home Care-Boynton/Delray
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912332826
- **Authorized official:** MR. JOSEPH MANDALA C.S.A (PRESIDENT)
- **Authorized official phone:** (732) 236-5968

## Contact information

- **Practice address:** 2200 N FEDERAL HWY, SUITE 212, BOCA RATON, FL 33431-7766
- **Practice address phone:** (561) 218-4391
- **Practice address fax:** (561) 298-4527
- **Mailing address:** 2 COLONIAL CT, PLAINSBORO, NJ 08536-3113
- **Mailing address phone:** (732) 236-5968
- **Mailing address fax:** (609) 799-8070

## Taxonomy

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

## Other

- **Enumeration date:** 09/10/2013
- **Last updated:** 09/10/2013