Organization
BIRCH BLUE CONSTRUCTION COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON E GOODMAN (PRESIDENT)
(614) 918-7731
Entity
Organization
Contact information
Practice address
36 HARRISON ST STE A, SUNBURY, OH 43074-9226
(614) 918-7731
Mailing address
PO BOX 1085, SUNBURY, OH 43074-1085
(614) 918-7731
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
171WH0202X
Home Modifications Contractor
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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