Individual
VIDA ZIWU-GRUNITZKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 MARY GAY CT, DECATUR, GA 30030-2904
(718) 395-0830
Mailing address
117 MARY GAY CT, DECATUR, GA 30030-2904
(718) 395-0830
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
307726
GA
251J00000X
Nursing Care Agency
Primary
307726
GA
253Z00000X
In Home Supportive Care Agency
307726
GA
314000000X
Skilled Nursing Facility
307726
GA
372600000X
Adult Companion
307726
GA
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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