Individual
MR. GRANT LEE ROBINSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
47 LAKEVIEW AVE, BRIDGETON, NJ 08302-1719
(856) 364-0544
(856) 300-5562
Mailing address
PO BOX 1511, MILLVILLE, NJ 08332-8511
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
374700000X
Technician
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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