Healthcare Provider Details

I. General information

NPI: 1558488627
Provider Name (Legal Business Name): YOUNGSTOWN CONTRACTING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 03/29/2024
Certification Date: 03/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1909 TWIN OAKS DR
GIRARD OH
44420-1655
US

IV. Provider business mailing address

1909 TWIN OAKS DR
GIRARD OH
44420-1655
US

V. Phone/Fax

Practice location:
  • Phone: 330-759-1044
  • Fax:
Mailing address:
  • Phone: 330-759-1044
  • 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: ALYSIA MENZ
Title or Position: MANAGER
Credential:
Phone: 330-759-1044