Organization
GRAND PALM SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD SERRANO YUSON (ADMINISTRATOR)
(954) 727-8167
Entity
Organization
Contact information
Practice address
950 S PINE ISLAND RD STE 150A, PLANTATION, FL 33324-3918
(954) 727-8167
(954) 727-8168
Mailing address
950 S PINE ISLAND RD STE 150A, PLANTATION, FL 33324-3918
(954) 727-8167
(954) 727-8168
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
30211861
FL
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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