Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Voluntary or Charitable |
251V00000X | 61 | Voluntary Health or Charitable Agency[1] | |
Community/Behavioral Health |
251S00000X | |||
Early Intervention Provider Agency |
252Y00000X | |||
Meals |
174200000X | |||
Supports Brokerage |
251X00000X |
| NPI # | 1992504252 |
| LBN Legal business name | GRANDI ENSEMBLE |
| Authorized official | JACQUES LAVENTURE - (DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/10/2025 |
| Last updated | 03/10/2025 - More than a year ago |
| Identifiers | n/a |
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