Organization
LEGACY HOME CARE SERVICES, LLC DBA GRANNY NANNIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGHAN PHELAN GOICOURIA (OWNER)
(305) 591-1818
Entity
Organization
Contact information
Practice address
2489 NW 7TH ST, MIAMI, FL 33125-3150
(305) 591-1818
(305) 402-8111
Mailing address
2489 NW 7TH ST, MIAMI, FL 33125-3150
(305) 591-1818
(305) 402-8111
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30211940
AHCA
FL
Enumeration date
01/14/2013
Last updated
01/26/2023
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