Individual
GRAYSON HAUSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3270 SUNTREE BLVD STE 102D, MELBOURNE, FL 32940-7540
(321) 221-7099
(321) 221-7098
Mailing address
3270 SUNTREE BLVD STE 102D, MELBOURNE, FL 32940-7540
(321) 221-7099
(321) 221-7098
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
29994693
FL
251E00000X
Home Health Agency
Primary
299994363
FL
251E00000X
Home Health Agency
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Other
Enumeration date
08/16/2017
Last updated
07/21/2022
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