Healthcare Provider Details

I. General information

NPI: 1801677026
Provider Name (Legal Business Name): IMPROVEMENT ZONE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2023
Last Update Date: 10/12/2023
Certification Date: 10/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 LOVE POINT RD STE B
STEVENSVILLE MD
21666-2137
US

IV. Provider business mailing address

400 LOVE POINT RD
STEVENSVILLE MD
21666-2137
US

V. Phone/Fax

Practice location:
  • Phone: 443-221-4661
  • Fax:
Mailing address:
  • Phone: 443-221-4661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS NEBOSHYNSKY
Title or Position: OWNER
Credential:
Phone: 443-221-4661