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Organization

GRANGEFORD HOLDINGS INC

Active
Other names
Assisting Hands Fort Myers
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT I. THOMAS (OWNER/ADMINISTRATOR)
(239) 337-4263
Entity
Organization

Contact information

Practice address
1850 BOY SCOUT DR, SUITE A103, FORT MYERS, FL 33907-2127
(239) 337-4263
(239) 247-5151
Mailing address
1850 BOY SCOUT DR, SUITE A103, FORT MYERS, FL 33907-2127
(239) 337-4263
(239) 247-5151

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA#299992935
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
693345900
MEDICAID WAIVER
FL
01
693524996
APD
FL
01
693524998
H & C BASED
FL
Enumeration date
05/26/2009
Last updated
04/21/2014
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