Organization
RNJ HOME HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL WALTER GROSSGLASS PT (OWNER)
(813) 508-5474
Entity
Organization
Contact information
Practice address
47 CAMELOT RIDGE DR, BRANDON, FL 33511-8099
(813) 508-5474
(813) 315-9610
Mailing address
47 CAMELOT RIDGE DR, BRANDON, FL 33511-8099
(813) 508-5474
(813) 315-9610
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891450896/891450898
—
FL
Enumeration date
01/05/2011
Last updated
01/05/2011
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