Organization
GRANTED ANGELS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDY GRANT (CEO)
(850) 209-4238
Entity
Organization
Contact information
Practice address
2860 HIGHWAY 71 STE B, MARIANNA, FL 32446-1893
(850) 209-4238
(888) 979-8559
Mailing address
6783 ROCKY LN, GRAND RIDGE, FL 32442-4219
(850) 209-4238
(850) 592-2604
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023322000
—
FL
Enumeration date
03/13/2018
Last updated
05/23/2022
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