Most Relevant Information
Provider Data
| NPI Number: | 1003411737 |
| Provider Name: | ANTOINETTE GRANT |
| Entity Type: | Individual |
| Taxonomy Code: | 251E00000X |
| Specialty: | Home Health |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/01/2020 |
| Last Updated: | 12/01/2020 |
Provider Practice Location
2822 DILLMARK CT
RALEIGH
NC
276105858
Practice Location Phone/Fax
| Phone: | 3306716389 |
| Fax: |
Provider Mailing Location
2822 DILLMARK CT
RALEIGH
NC
276105858
Provider Mailing Phone/Fax
| Phone: | 3306716389 |
| Fax: |