Healthcare Provider Details

I. General information

NPI: 1447423595
Provider Name (Legal Business Name): DO-RITE REMODELING & CONSTRUCTION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2008
Last Update Date: 04/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15467 COUNTY ROAD 11
FORT MORGAN CO
80701-8712
US

IV. Provider business mailing address

15467 COUNTY ROAD 11
FORT MORGAN CO
80701-8712
US

V. Phone/Fax

Practice location:
  • Phone: 970-867-2131
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: MARYLIN MALONE
Title or Position: ADMINISTRATOR
Credential:
Phone: 970-867-4065