Grandmary'S House

LBN: Grandmary'S House
Grandmary'S House is an health care organization with primary practice located at 4828 Evanston Rd , Jacksonville FL 32208. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Grandmary'S House can be contacted via phone (904) 768-8350, or through Robinson, Mary A via phone (904) 768-8350.

Contact Information

Primary practice address
4828 Evanston Rd Jacksonville FL 32208
Phone: (904) 768-8350
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Robinson, Mary A
Phone: (904) 768-8350

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 59062583 Michigan

Profile Details

NPI number 1578892485
LBN Legal business name Grandmary'S House
DBA Doing business as
Authorized official Robinson, Mary A
Entity Organization
Organization subpart 1 No
Enumeration date Dec 24th, 2009
Last updated Dec 24th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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