Individual provider · Type 1 NPI

Grant Medlock

Home Health Agency · St. Petersburg, FL

NPI number 1003391145 Active

Practice location

2498 Lynn Lake Cir S
St. Petersburg, FL 33712-6117

Call (913) 553-9394 Map

Other practice locations

  • 2498 Lynn Lake Cir S, St. Petersburg, FL 33712-6117 · (913) 553-9394

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency Primary 251E00000XNone listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1003391145

Grant Medlock's National Provider Identifier is 1003391145, issued on Sep 25, 2018. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Sep 25, 2018.