Healthcare Provider Details

I. General information

NPI: 1518243849
Provider Name (Legal Business Name): INSTALLATIONS BY BECK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2011
Last Update Date: 11/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9700 ROOT RD
COLUMBIA STATION OH
44028-9583
US

IV. Provider business mailing address

9700 ROOT RD
COLUMBIA STATION OH
44028-9583
US

V. Phone/Fax

Practice location:
  • Phone: 440-748-1880
  • Fax: 440-748-1881
Mailing address:
  • Phone: 440-748-1880
  • Fax: 440-748-1881

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: RENEE KAY BECK
Title or Position: SECRETARY
Credential:
Phone: 440-748-1880