Individual provider · Type 1 NPI

Annissa Natonnia Gray

Adult Care Home Facility · Palm Coast, FL

NPI number 1508780867 Active

Practice location

18 Laramie Dr
Palm Coast, FL 32137-9648

Call (386) 225-5542 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1508780867

Annissa Natonnia Gray's National Provider Identifier is 1508780867, issued on Aug 7, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Palm Coast, FL. The record was last updated on Aug 7, 2026.