Organization
GRELL ENTERPRISES, INC.
Active
Other names
HOMESTEAD RETIREMENT HOME
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL CHRISLER ELLINGSWORTH (PRESIDENT)
(614) 718-0093
Entity
Organization
Contact information
Practice address
1117 MASSACHUSETTS AVE, SAINT CLOUD, FL 34769-3787
(407) 892-3831
(407) 892-7120
Mailing address
3249 NEWGATE CT, DUBLIN, OH 43017-2223
(614) 718-0093
(614) 718-0086
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL245
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140932800
—
FL
Enumeration date
04/29/2008
Last updated
04/29/2008
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