444 Wellness LLC
Pain Medicine, Interventional Pain Medicine in Granby, CO. Organization (NPI-2).
NPI number1619600285
StatusActive
Last updated in NPPESAug 7, 2023
Details
- NPI
- 1619600285
- Entity type
- Organization (NPI-2)
- Legal business name
- 444 Wellness LLC
- Organization subpart
- No
- Enumeration date
- Jul 1, 2022
- Certification date
- Aug 7, 2023
- Last updated
- Aug 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
Practice location
60 North Second StGranby, CO 80446
Phone 970-557-4040
Mailing address
Po Box 634Granby, CO 80446-0634
Phone 309-202-1693
Authorized official
Kathleen Hornbaker
Owner
9707946444
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