Organization
GREY TO GLORY HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY EDWARDS (OWNER, PRESIDENT)
(850) 447-1212
Entity
Organization
Contact information
Practice address
11288 NW STATE ROAD 20, BRISTOL, FL 32321-3481
(850) 447-1212
Mailing address
11288 NW STATE ROAD 20, BRISTOL, FL 32321-3481
(850) 447-1212
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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