Healthcare Provider Details
I. General information
NPI: 1710701297
Provider Name (Legal Business Name): GARFIELD BUILDERS INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/12/2024
Last Update Date: 11/12/2024
Certification Date: 11/12/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
517 GARFIELD AVE
DULUTH MN
55802-2630
US
IV. Provider business mailing address
517 GARFIELD AVE
DULUTH MN
55802-2630
US
V. Phone/Fax
- Phone: 218-310-3276
- Fax:
- Phone: 218-310-3276
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171WH0202X |
| Taxonomy | Home Modifications Contractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
JULIA
MATTSON
Title or Position: OFFICE MANAGER
Credential:
Phone: 218-310-3276