GRACE MOUNTAIN HEALTH & WELLNESS LLC; NPI #1023987229

Contact Information

GRACE MOUNTAIN HEALTH & WELLNESS LLC

500 SAN JUAN ST
TRINIDAD, CO 81082-2517

Phone: 304-676-9947
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family Health	364SF0001X	89	Certified Clinical Nurse Specialist

Indicates primary specialty

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NPI Profile & details for GRACE MOUNTAIN HEALTH & WELLNESS LLC

NPI Number	`1023987229`
LBN Legal business name	GRACE MOUNTAIN HEALTH & WELLNESS LLC
Authorized official	JEFFREY LEWIS - (CO-OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/04/2025
Last updated	11/04/2025 - About 7 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GRACE MOUNTAIN HEALTH & WELLNESS LLC

Contact Information

Specialty

Family Health

NPI Profile & details for GRACE MOUNTAIN HEALTH & WELLNESS LLC

Reviews for GRACE MOUNTAIN HEALTH & WELLNESS LLC