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Individual

WILLIAM GRENNON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
HHA, CNA, PCA

Contact information

Practice address
424 HEIGHTS AT CAPE ANN, GLOUCESTER, MA 01930-5341
(978) 412-5440
Mailing address
PO BOX 315, GLOUCESTER, MA 01931-0315
(978) 412-5440

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
372600000X
Adult Companion
373H00000X
Day Training/Habilitation Specialist
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
Primary
376G00000X
Nursing Home Administrator
376J00000X
Homemaker
376K00000X
Nurse's Aide

Other

Enumeration date
06/13/2013
Last updated
06/13/2013
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