Kelly Grim is a Respite Care based in Reno, NV. Kelly Grim practices in Reno, NV. The NPI Number for Kelly Grim is 1912367202 and holds a License No. (Nevada).
The current practice location address for Kelly Grim is 2277 Sunrise Dr, Reno, NV and can be reached out via phone at 775-287-6029.
Location: 2277 Sunrise Dr, Reno, NV, 89509-3751
Provider Profile Details
NPI Number
1912367202
Provider Name
Kelly Grim
Credential
Provider Entity Type
Individual
Gender
Female
Address
2277 Sunrise Dr, Reno, NV, 89509-3751
Phone Number
775-287-6029
Fax Number
Provider Enumeration Date
02/29/2016
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49194300001 | 05 | NV |
Provider Business Practice Location Address Details
Address
2277 Sunrise Dr
City
State
Zip
89509-3751
Phone Number
775-287-6029
Fax Number
Provider Business Mailing Address Details
Address
2277 Sunrise Dr
City
State
Zip
89509-3751
Phone Number
775-287-6029
Fax Number
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come.
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