Healthcare Provider Details

I. General information

NPI: 1053628578
Provider Name (Legal Business Name): HENDRICKS BETTER HOMES AND BUILDINGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2010
Last Update Date: 09/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6813 HANNON ST. UNIT C
BELL GARDENS CA
90201-7822
US

IV. Provider business mailing address

6813 HANNON ST. UNIT C
BELL GARDENS CA
90201-7822
US

V. Phone/Fax

Practice location:
  • Phone: 562-746-9915
  • Fax:
Mailing address:
  • Phone: 562-746-9915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number894176
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number894176
License Number StateCA

VIII. Authorized Official

Name: MR. ANTHONY ALLEN HENDRICKS
Title or Position: CONTRACTOR
Credential:
Phone: 562-746-9915