NPI 1043077647

Amiracle Grant

Practitioner Home Health Aide Tallahassee, FL

Practice location

Address: 2386 Vega Dr, Tallahassee, FL 32303-3386
Phone: (850) 570-4147

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

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Registry record

NPI: 1043077647
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Mar 2024
Record last updated: 1 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.