| Organization Name: | GREGORY CONTRACTING INC. |
| NPI Number: | 1396103164 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD GREGORY (OWNER) |
| Mailing Address: | 24521 Lofton Ave Chisago City |
| State: | MN US |
| Postal Code: | 550139755 |
| Phone Number: | 6512130668 |
| Fax Number: | |
| NPI Enumeration Date: | 02/08/2016 |
| NPI Last Update Date: | 02/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171WH0202X |
| License Number: | BC692167 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Contractor |
| Taxonomy Specialization: | Home Modifications |
| Taxonomy Definition: | |