MEDICARE: MS. ANNAMARIE D GRASSO ANNA HEALTH CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1174831325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANNAMARIE D GRASSO ANNA HEALTH CARE

Provider Business Mailing Address
First Line	:	5508 BRITAN DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-1446
Country	:	US
Telephone Number	:	407-756-9586
Fax Number	:	407-869-5592

Provider Business Practice Location Address
First Line	:	5508 BRITAN DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-1446
Country	:	US
Telephone Number	:	407-756-9586
Fax Number	:	407-869-5592

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2010
Last Update Date	:	09/22/2010

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