Organization
MY GRANDS CARE SOLUTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLEEFORD CANTURIAS (AUTHORIZED OFFICIAL)
(336) 770-9480
Entity
Organization
Contact information
Practice address
5213 MERELEDGE CT APT B, WINSTON SALEM, NC 27106-6451
(336) 770-9480
Mailing address
5213 MERELEDGE CT APT B, WINSTON SALEM, NC 27106-6451
(336) 770-9480
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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