Grant, Eugenie

Grant, Eugenie is an sole proprietor health care provider with primary practice located at 3112 Sw Watson Ct , Port St Lucie FL 34953-6302. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Nurse's Aide. Nursing Service Related Providers / Nurse's Aide is her primary health care specialty. Grant, Eugenie can be contacted via phone (772) 344-3531.

Contact Information

Primary practice address
3112 Sw Watson Ct Port St Lucie FL 34953-6302
Phone: (772) 344-3531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X 1232 Florida
Nursing Service Related Providers / Nurse's Aide 376K00000X 1289 Florida

Profile Details

NPI number 1619278694
LBN Legal business name Grant, Eugenie
Credentials CNA/PERS. ASST.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2010
Last updated Nov 8th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619278694 NPPES
Florida MEDICAID 685174696

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