Provider Demographics
NPI:1396086773
Name:GRANNIES & GRAMPS, INC.
Entity type:Organization
Organization Name:GRANNIES & GRAMPS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:DAYNON
Authorized Official - Last Name:KIRKWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MIBA
Authorized Official - Phone:602-400-6027
Mailing Address - Street 1:2429 BISSONNET ST
Mailing Address - Street 2:SUITE 490
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1451
Mailing Address - Country:US
Mailing Address - Phone:602-400-6027
Mailing Address - Fax:
Practice Address - Street 1:2429 BISSONNET ST
Practice Address - Street 2:SUITE 490
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-1451
Practice Address - Country:US
Practice Address - Phone:602-400-6027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-08
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care