| Grum Co Llc | |
|
6551 N Swainson Ln Coeur D Alene ID 83815-5106 | |
| (949) 373-6676 | |
| Not Available |
| Full Name | Grum Co Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6551 N Swainson Ln, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Jenelle Marie Hampson (OWNER) |
| Authorized Official Contact | 9493736676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grum Co Llc 6551 N Swainson Ln Coeur D Alene ID 83815-5106 Ph: (949) 373-6676 | Grum Co Llc 6551 N Swainson Ln Coeur D Alene ID 83815-5106 Ph: (949) 373-6676 |
| NPI Number | 1598443624 |
|---|---|
| Provider Enumeration Date | 07/10/2023 |
| Last Update Date | 07/10/2023 |
| Certification Date | 07/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598443624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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