Grand Canyon Group Home LLC
NPI #1477278232 in Valrico, Florida
Provider Information
- NPI Number
- 1477278232
- Entity Type
- Organization
- Organization Name
- Grand Canyon Group Home LLC
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Oct 4, 2022
- Last Updated
- Oct 4, 2022
Practice Location
Authorized Official
- Name
- CASSANDRA VIRGINIA SIMPSON, BSN, RN
- Title
- DIRECTOR
- Phone
- (813) 810-6844
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
| Nursing Care |
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
| Clinic/Center - Health Service — Health Service |
| Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child — Respite Care, Intellectual and/or Developmental Disabilities, Child |
| In Home Supportive Care |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| Suzette Brockington | |
| MR. Harland Ramon Hill | |
| Cherice Elaine Lewis |
Organizations
| Provider Name | |
|---|---|
| Mgr Technologies, INC | |
| Serenity Manor Agency Part of Serenity Manor Assisted Living, Inc. |
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