| NPI | 1386189652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAJUAN ALLEN Member 318-415-8872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171WH0202X Contractor, Home Modifications (Licence: LA 558499) |
| Additional Taxonomies | 171W00000X Contractor (Licence: LA 558499) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |