| NPI | 1073019048 |
|---|---|
| Former Legal Business Name | JESSIE JR. HOME MODIFY |
| Entity Type | Organization |
| Authorized Contact | JESUS JAVIER VELARDE Owner/ Contractor 915-256-1565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171WH0202X Contractor, Home Modifications |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |