Organization
G&G HOME CARE
Active
Other names
G&G HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
TAKITA HAYES GREEN (OWNER)
(352) 504-8964
Entity
Organization
Contact information
Practice address
203 WINDSOR ESTATES DR, DAVENPORT, FL 33837-9604
(352) 504-8964
Mailing address
203 WINDSOR ESTATES DR, DAVENPORT, FL 33837-9604
(352) 504-8964
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
824911555
—
FL
Enumeration date
05/02/2018
Last updated
06/16/2018
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