Organization
GRACE & FAVOR GROUP HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHRONDA ALLEN (DIRECTOR)
(352) 256-8182
Entity
Organization
Contact information
Practice address
6519 NW 25TH TER, GAINESVILLE, FL 32653-1581
(352) 256-8182
Mailing address
PO BOX 141202, GAINESVILLE, FL 32614-1202
(352) 256-8182
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
233993
FL
376K00000X
Nurse's Aide
212625
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016312100
—
FL
05
—
1992167894
—
FL
Enumeration date
03/22/2016
Last updated
03/03/2022
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