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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
164W00000X
Licensed Practical Nurse
225100000X
Physical Therapist
225X00000X
Occupational Therapist
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
374U00000X
Home Health Aide
376K00000X
Nurse's Aide

Other

Enumeration date
01/30/2026
Last updated
01/30/2026
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