Organization
GRANNIE'S HOME ALF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGEL GUIROLA (ADMINISTRATOR)
(813) 363-2530
Entity
Organization
Contact information
Practice address
5554 PENTAIL CIR, TAMPA, FL 33625-1936
(813) 363-2530
Mailing address
5554 PENTAIL CIR, TAMPA, FL 33625-1936
(813) 363-2530
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
13073
FL
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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