Organization Name: | JC'S HOME IMPROVEMENTS INC |
NPI Number: | 1902039217 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM JUNIOR CREWS (PRESIDENT) |
Mailing Address: | 2172 Reverend Coleman Rd Clover |
State: | VA US |
Postal Code: | 245343216 |
Phone Number: | 4345791419 |
Fax Number: | 4344546343 |
NPI Enumeration Date: | 09/02/2009 |
NPI Last Update Date: | 09/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171WH0202X |
License Number: | 2705116595 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | Home Modifications |
Taxonomy Definition: |