Organization Name: | ACADIA FINISHERS LLC |
NPI Number: | 1043563968 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN P MCHUGH (PRESIDENT) |
Mailing Address: | 1911 Paradise Dr West Bend |
State: | WI US |
Postal Code: | 530957870 |
Phone Number: | 2623381000 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2012 |
NPI Last Update Date: | 10/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171WH0202X |
License Number: | 1128658 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | Home Modifications |
Taxonomy Definition: |