Tamara Grigaltchik
Custodial Care Facility, Adult Care Home in North Port, FL. Individual provider (NPI-1).
NPI number1265762017
StatusActive
Last updated in NPPESSep 23, 2026
Details
- NPI
- 1265762017
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tamara Grigaltchik
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 29, 2009
- Certification date
- Sep 23, 2026
- Last updated
- Sep 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | 6906380 | FL | Yes |
Practice location
12105 Madrid AveNorth Port, FL 34287-1123
Phone 941-800-6212
Mailing address
12105 Madrid AveNorth Port, FL 34287-1123
Phone 941-800-6212
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Other Adult Care Home Facility providers in North Port, FL
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All 7 Adult Care Home Facility providers in North Port · All 1,104 providers in North Port
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