Organization
GRANDMOTHER'S HOME CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLEIDA QUINTANA (PRESIDENT)
(786) 370-3450
Entity
Organization
Contact information
Practice address
4651 NW 23RD CT, MIAMI, FL 33142-4615
(305) 633-3569
Mailing address
4651 NW 23RD CT, MIAMI, FL 33142-4615
(305) 633-3569
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11727
FL
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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