National Provider Identifier Database

GRACE MOUNTAIN HEALTH WELLNESS LLC
Family Health


Contact Information

GRACE MOUNTAIN HEALTH & WELLNESS LLC
500 SAN JUAN ST
TRINIDAD, CO81082-2517
Phone: 304-676-9947
Fax:
Website:
Specialty Taxonomy Code
* Family Health 364SF0001X

* Indicates primary specialty

NPI Profile & details for GRACE MOUNTAIN HEALTH & WELLNESS LLC

NPI Number 1023987229
Legal business name
LBN
GRACE MOUNTAIN HEALTH & WELLNESS LLC
Authorized official JEFFREY LEWIS - (CO-OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/04/2025
Last updated 11/04/2025 - About 7 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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