Organization
GRAYCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRAHAM J SMITH (OWNER)
(907) 364-3584
Entity
Organization
Contact information
Practice address
3100 CHANNEL DR, SUITE 314, JUNEAU, AK 99801-7837
(907) 364-3584
Mailing address
PO BOX 210805, AUKE BAY, AK 99821-0805
(907) 364-3584
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
738061
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MS2458
—
AK
05
—
PCG015
—
AK
Enumeration date
03/15/2012
Last updated
03/15/2012
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