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Grandmary's House
Federally Qualified Health Center (FQHC) in Jacksonville, Florida
NPI 1578892485

Grandmary's House is a Federally Qualified Health Center (FQHC) based in Jacksonville, FL and is specialized in Federally Qualified Health Center (FQHC). Grandmary's House practices in Jacksonville, FL. The NPI Number for Grandmary's House is 1578892485 and holds a License No. 59062583 (Florida).

The current practice location address for Grandmary's House is 4828 Evanston Rd, Jacksonville, FL and can be reached out via phone at 904-768-8350.

Location: 4828 Evanston Rd, Jacksonville, FL, 32208-1840
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578892485
Provider Name
Grandmary's House
Credential
Provider Entity Type
Organization
Address
4828 Evanston Rd, Jacksonville, FL, 32208-1840
Phone Number
904-768-8350
Fax Number
Provider Enumeration Date
12/24/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4828 Evanston Rd
City
Jacksonville
State
Florida
Zip
32208
Phone Number
904-768-8350
Fax Number
person
Provider Business Mailing Address Details
Address
4828 Evanston Rd
City
Jacksonville
State
Florida
Zip
32208
Phone Number
904-768-8350
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
59062583 (Michigan)
Definition
Definition to come...
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