NPI | 1255597431 |
---|---|
Entity Type | Organization |
Authorized Contact | SHEILA M TRENT Billing 309-762-8181 |
Organization Subpart ? | No |
Primary Taxonomy | 171WH0202X Contractor, Home Modifications (Licence: IL 00023084) |
Enumeration Date | 2008-08-06 |
Last Update Date | 2008-08-06 |