| NPI | 1609694637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLA STEPHENSON Administrator 470-217-8445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171WH0202X Contractor Home Modifications |
| Additional Taxonomies | 171WV0202X Contractor Vehicle Modifications |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |