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Organization

GRATEFUL HOME CARE CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LIYAN B DE LA CRUZ (OWNER)
(813) 701-4909
Entity
Organization

Contact information

Practice address
6107 MEMORIAL HWY STE E2, TAMPA, FL 33615-4576
(813) 373-5285
(813) 379-2288
Mailing address
6107 MEMORIAL HWY STE E2, TAMPA, FL 33615-4576
(813) 373-5285
(813) 379-2288

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
02/29/2024
Last updated
02/29/2024
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