Organization
GRAYBEARD LLC
Active
Other names
Amramp VT & Western MA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN JEWETT (OWNER)
(413) 325-1457
Entity
Organization
Contact information
Practice address
347 SMOKESHIRE RD, LUDLOW, VT 05149-9505
(413) 325-1457
Mailing address
347 SMOKESHIRE RD, LUDLOW, VT 05149-9505
(413) 325-1457
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/05/2016
Last updated
11/05/2016
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