Organization
DYNISHA GRIMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DYNISHA GRIMES (PRESIDENT)
(216) 355-1256
Entity
Organization
Contact information
Practice address
6714 E PLEASANT VALLEY RD, INDEPENDENCE, OH 44131-6328
(216) 355-1256
Mailing address
6714 E PLEASANT VALLEY RD, INDEPENDENCE, OH 44131-6328
(216) 355-1256
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251V00000X
Voluntary or Charitable Agency
—
—
305S00000X
Point of Service
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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