STATELY CONSTRUCTION LLC NPI 1740517671

NPI Information

NPI: 1740517671
Provider Name: STATELY CONSTRUCTION LLC
Classification: Contractor - 171WH0202X
Entity Type: Organization

Specialization: Home Modifications

Address:
504 W HIGH ST
PENDLETON, IN
ZIP 46064
Phone: (317) 506-0337
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STATELY CONSTRUCTION LLC is a home modifications contractor in Pendleton, IN. STATELY CONSTRUCTION LLC NPI is 1740517671. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

504 W HIGH ST
PENDLETON, IN
ZIP 46064-128
Phone: (317) 506-0337
Fax: (765) 778-3658

The provider's authorized official is Clinton J Derolf .
The authorized official title is Partner and has the following contact phone number (317) 506-0337.

The enumeration date for this NPI number is 11/13/2009 and was last updated on 11/13/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171WH0202X	Contractor	Home Modifications			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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