Organization
GRIMETIME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAPHA MBOOB M (MANAGEMENT)
(978) 332-3401
Entity
Organization
Contact information
Practice address
72 S CHESTNUT ST, WAUREGAN, CT 06387-8708
(978) 332-3401
Mailing address
PO BOX 35, WAUREGAN, CT 06387-0035
(860) 897-4438
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N4AFC8K7B943
SAM.GOV
CT
Enumeration date
07/22/2024
Last updated
07/22/2024
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