Organization
GRANDPARENTS HOUSE ALF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IRAN VEJERANO (OWNER)
(786) 307-6994
Entity
Organization
Contact information
Practice address
3890 SW CHAFFIN ST, PORT SAINT LUCIE, FL 34953-5304
(786) 307-6994
Mailing address
3890 SW CHAFFIN ST, PORT SAINT LUCIE, FL 34953-5304
(786) 307-6994
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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