Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareGRANNY NANNIES LLC
Custodial Care Facility
Longwood, Florida
Provider NPI: 1760604664
Organization Information:Organization Name: GRANNY NANNIES LLC
Practice Location:
1912 BOOTHE CIR SUITE 300 LONGWOOD, FL 32750 US
Tel: 407-682-7758 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1912 BOOTHE CIR SUITE 300 LONGWOOD, FL 32750 US
Tel: 407-682-7758 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 251E00000X | Agencies Home Health | FL | NR3010096 |
| N | 251E00000X | Agencies Home Health | FL | NR30210990 |
| Y | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility | FL | NR3010096 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 675935100 | FL | 05 | |
| 6759351 | FL | 05 | |
| 675935104 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin