NPI 1386472520

Grimetime LLC

Organisation Prevention Professional Wauregan, CT

Practice location

Address: 72 S Chestnut St, Wauregan, CT 06387-8708
Phone: (978) 332-3401
Mailing address: PO Box 35, Wauregan, CT 06387-0035

Authorised official

Name: Mustapha Mboob
Title: Management
Phone: (978) 332-3401

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X

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Registry record

NPI: 1386472520
Entity type: Organization
NPI issued: 22 Jul 2024
Record last updated: 22 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.