Organization
444 WELLNESS LLC
Active
Organization
444 WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN HORNBAKER CRNA (OWNER)
(970) 794-6444
Entity
Organization
Contact information
Practice address
60 NORTH SECOND ST, GRANBY, CO 80446
(970) 557-4040
Mailing address
PO BOX 634, GRANBY, CO 80446-0634
(309) 202-1693
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
07/01/2022
Last updated
08/07/2023
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