Organization
TITLWATH HOME IMPROVEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES DANIEL PIERCE CONTRACTOR (OWNER)
(573) 764-5098
Entity
Organization
Contact information
Practice address
10 E FLOTTMANN RD, GERALD, MO 63037-2145
(573) 764-5098
(573) 764-5098
Mailing address
10 E FLOTTMANN RD, GERALD, MO 63037-2145
(573) 764-5098
(573) 764-5098
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
MO
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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