Organization
GRANNY'S NANNY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY A CRUDELE (PRESIDENT)
(516) 749-2994
Entity
Organization
Contact information
Practice address
22 HURON AVE, MASSAPEQUA, NY 11758-7545
(516) 749-2994
Mailing address
22 HURON AVE, MASSAPEQUA, NY 11758-7545
(516) 749-2994
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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