Organization
DEBRA GRANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA GRANT (SOCIAL WORKER)
(707) 793-2133
Entity
Organization
Contact information
Practice address
91 VALLEY VIEW DR, PETALUMA, CA 94952-1039
(707) 793-2133
Mailing address
91 VALLEY VIEW DR, PETALUMA, CA 94952-1039
(707) 795-4929
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
LIC# 19394
CA
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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