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Organization
PRIMEWELL VENTURES INC
Active
Organization
PRIMEWELL VENTURES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE MUTOONI (PRESIDENT)
(781) 999-0204
Entity
Organization
Contact information
Practice address
5 MILITIA DR STE 202, LEXINGTON, MA 02421-4708
(781) 999-0204
Mailing address
100 INDEPENDENCE DR STE 7-918, HYANNIS, MA 02601-1898
(781) 999-0204
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
NULL
164W00000X
Licensed Practical Nurse
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
NULL
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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