Healthcare Provider Details

I. General information

NPI: 1578481552
Provider Name (Legal Business Name): QUALITY FENCE & REPAIR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15381 288TH AVE NW
ZIMMERMAN MN
55398-4801
US

IV. Provider business mailing address

15381 288TH AVE NW
ZIMMERMAN MN
55398-4801
US

V. Phone/Fax

Practice location:
  • Phone: 952-201-2378
  • Fax:
Mailing address:
  • Phone: 952-201-2378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TIMOTHY HRUSKA
Title or Position: OWNER
Credential:
Phone: 952-201-2378