Grandmaz Residential

NPI 1073929048 - Day Training, Developmentally Disabled Services - 251C00000X

NPI Details
NPI 1073929048
Enumeration Date 07/10/2014
Last Updated 07/10/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name TAMMY TAMMY
Position CEO
Phone (919) 607-2041
Fax
Practice Location
101 VALLEY PARK DR
KNIGHTDALE NC, 27545-7912, US
Phone (919) 607-2041
Fax
Business Location
101 VALLEY PARK DR
KNIGHTDALE NC, 27545-7912, US
Phone
Fax
Toxanomy
Taxonomy Code 251C00000X
License State
License Number
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According to our database, Grandmaz Residential NPI is 1073929048, taxonomy code is 251C00000X Grandmaz Residential physically located at 101 Valley Park Dr, Knightdale NC, 27545-7912. NPI Number 1033115704 has the healthcare provider type.

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1073929048 NPI number is provided on an as is basis without warranty of any kind. 1073929048 is maintained by the National Plan & Provider Enumeration System. The contents of Grandmaz Residential are for informational purposes only.