Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers |
| NPI Number | 1902164650 |
| LBN Legal business name | GRINBATH, LLC |
| Authorized official | BRIAN STILL - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/01/2012 |
| Last updated | 05/01/2012 - About 14 years ago |
| Identifiers | n/a |
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