Healthcare Provider Details
I. General information
NPI: 1851962369
Provider Name (Legal Business Name): DECOR BUILT CONSTRUCTION COMPANY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/06/2021
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8131 LAKE DR NE
MINERAL CITY OH
44656-9064
US
IV. Provider business mailing address
1130 PELION PL
THE VILLAGES FL
32162-4049
US
V. Phone/Fax
- Phone: 877-560-5743
- Fax: 877-560-5745
- Phone: 877-560-5743
- Fax: 877-560-5745
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:
KAREN
SCARBROUGH
Title or Position: PRESIDENT
Credential:
Phone: 877-560-5743