Healthcare Provider Details

I. General information

NPI: 1811781701
Provider Name (Legal Business Name): KTC HEATING COOLING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10044 MORLEY ST
DETROIT MI
48204-2525
US

IV. Provider business mailing address

10044 MORLEY ST
DETROIT MI
48204-2525
US

V. Phone/Fax

Practice location:
  • Phone: 313-790-8816
  • Fax:
Mailing address:
  • Phone: 313-790-8816
  • 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: KHAFRA CHAPPLE
Title or Position: OWNER
Credential:
Phone: 313-790-8816