NPI | 1720166853 |
---|---|
Entity Type | Organization |
Authorized Contact | SAM COOK Owner 800-458-8267 |
Organization Subpart ? | No |
Primary Taxonomy | 171WV0202X Contractor, Vehicle Modifications (Licence: IN 205552) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2020-08-22 |