MEDICARE: FINESSE CARPENTRY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171WH0202X	Home Modifications Contractor

General Provider Information

NPI Number	:	1457207953
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FINESSE CARPENTRY LLC

Provider Business Mailing Address
First Line	:	7781 REDWOOD AVE NW
Second Line	:
City	:	SOUTH HAVEN
State	:	MN
Zip	:	55382-3844
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7781 REDWOOD AVE NW
Second Line	:
City	:	SOUTH HAVEN
State	:	MN
Zip	:	55382-3844
Country	:	US
Telephone Number	:	320-224-2922
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARK MEREDITH
Credential	:
Telephone Number	:	320-224-2922

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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