Organization · Type 2 NPI

Grandmary's House

Federally Qualified Health Center (FQHC) · Jacksonville, FL

NPI number 1578892485 Active

Practice location

4828 Evanston Rd
Jacksonville, FL 32208

Call (904) 768-8350 Map

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400X59062583 (MI)

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1578892485

Grandmary's House's National Provider Identifier is 1578892485, issued on Dec 24, 2009. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 24, 2009.