Provider Demographics
NPI:1326632142
Name:GRIMM INVESTMENTS LLC
Entity Type:Organization
Organization Name:GRIMM INVESTMENTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ATHENA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GRIMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-764-6354
Mailing Address - Street 1:PO BOX 243742
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99524-3742
Mailing Address - Country:US
Mailing Address - Phone:907-222-2600
Mailing Address - Fax:907-245-4511
Practice Address - Street 1:151 W 100TH AVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-2676
Practice Address - Country:US
Practice Address - Phone:907-222-3456
Practice Address - Fax:907-245-4511
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GRIMM INVESTMENTS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-23
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1Other.