Healthcare Provider Details

I. General information

NPI: 1720902927
Provider Name (Legal Business Name): NOAH'S CONSTRUCTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 GERMANIA CIR
SALISBURY MD
21801-4814
US

IV. Provider business mailing address

620 GERMANIA CIR
SALISBURY MD
21801-4814
US

V. Phone/Fax

Practice location:
  • Phone: 443-359-8336
  • Fax:
Mailing address:
  • Phone: 443-359-8336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: DOUGLAS DESHIELDS SR.
Title or Position: OWNER
Credential:
Phone: 443-359-8336