Healthcare Provider Details

I. General information

NPI: 1760684781
Provider Name (Legal Business Name): GRAU CONSTRUCTION CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2716 SE 5TH ST STE #1
AMES IA
50010-7713
US

IV. Provider business mailing address

2716 SE 5TH ST STE #1
AMES IA
50010-7713
US

V. Phone/Fax

Practice location:
  • Phone: 515-232-4584
  • Fax: 515-233-5349
Mailing address:
  • Phone: 515-232-4584
  • Fax: 515-233-5349

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: MR. NOEL R GRAU
Title or Position: PRESIDENT
Credential:
Phone: 515-232-4584