Grandpa Home Health, LLC
Registered Nurse, Home Health in West Palm Beach, FL. Organization (NPI-2).
NPI number1164030235
StatusActive
Last updated in NPPESDec 20, 2022
Details
- NPI
- 1164030235
- Entity type
- Organization (NPI-2)
- Legal business name
- Grandpa Home Health, LLC
- Organization subpart
- No
- Enumeration date
- Jul 15, 2020
- Certification date
- Dec 20, 2022
- Last updated
- Dec 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WH0200X | Registered Nurse, Home Health | – | – | Yes |
Practice location
1499 Forest Hill Blvd Ste 119West Palm Beach, FL 33406-6050
Phone 561-774-8569 · Fax 561-763-1300
Mailing address
1499 Forest Hill Blvd Ste 119West Palm Beach, FL 33406-6050
Phone 561-774-8569 · Fax 561-763-1300
Authorized official
Nancy Fernandez
Administrator
5617748569
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