| NPI | 1083425854 |
|---|---|
| Former Legal Business Name | GRADAM DISPATCHING SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | CHARLIE O IMONAH Medical Director 401-599-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-01-20 |