OrganizationActive
Great Grandma'S Tender, Love and Care, Inc
NPI 1316240195 · Community Based Hospice Care Agency · Ridge Manor, FL
Provider details
- NPI number
- 1316240195
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mary Pack, Owner(352) 583-3876
- License
- 693102296 (FL)
Specialties & taxonomies
Agencies
Practice location
34729 Orchid Pkwy
Ridge Manor, FL 33523-8864
Phone: (352) 583-3876
Fax: (352) 583-3876
Approximate (ZIP-level) locationGet directions
Mailing address
34729 Orchid Pkwy
Ridge Manor, FL 33523-8864
Registry dates
- Enumerated
- 2010-12-16
- Last updated
- 2010-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.