Organization
FOR THOSE WHO CARE
Active
Other names
Granny Nannies
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LOU WIELOSZYNSKI (PRESIDENT/CEO)
(352) 536-2511
Entity
Organization
Contact information
Practice address
1150 W MINNEOLA AVE, CLERMONT, FL 34711-2054
(352) 536-2511
(352) 536-2468
Mailing address
1150 W MINNEOLA AVE, CLERMONT, FL 34711-2054
(352) 536-2511
(352) 536-2468
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
30211348
FL
251E00000X
Home Health Agency
Primary
NR30211186
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6934463 00
—
FL
Enumeration date
06/03/2008
Last updated
11/26/2012
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