Healthcare Provider Details

I. General information

NPI: 1083852867
Provider Name (Legal Business Name): TURN KEY CARPENTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21756 MOUNTAIN VALLEY RD
MILLBORO VA
24460-2832
US

IV. Provider business mailing address

21756 MOUNTAIN VALLEY RD
MILLBORO VA
24460-2832
US

V. Phone/Fax

Practice location:
  • Phone: 540-969-6779
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number StateVA

VIII. Authorized Official

Name: MR. JAMES LEE TENNANT
Title or Position: SOLE PROPRITOR
Credential:
Phone: 540-969-6779