Individual
BRIAN GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1598 LONGWOOD DR, MAYFIELD HTS, OH 44124-3006
(440) 523-0171
Mailing address
1598 LONGWOOD DR, MAYFIELD HTS, OH 44124-3006
(440) 523-0171
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
0095596
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095596
—
OH
Enumeration date
05/21/2014
Last updated
05/28/2014
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