| Organization Name: | DOMINION CRAFTSMAN SERVICES,LLC |
| NPI Number: | 1265627103 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN JOSEPH ULLMAN (OWNER) |
| Mailing Address: | 5011 Warwick Hills Ct Haymarket |
| State: | VA US |
| Postal Code: | 201693185 |
| Phone Number: | 7035085976 |
| Fax Number: | 5712612746 |
| NPI Enumeration Date: | 09/13/2007 |
| NPI Last Update Date: | 09/13/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171WH0202X |
| License Number: | 2705105044 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Contractor |
| Taxonomy Specialization: | Home Modifications |
| Taxonomy Definition: | |