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Organization

EVOLVED ENTERPRISES LLC

Active
Other names
Tiffany Marble LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JIM JOHNSON (GENERAL MANAGER)
(913) 515-5525
Entity
Organization

Contact information

Practice address
16 SE 16TH ST, LEES SUMMIT, MO 64081-3115
(913) 515-5525
Mailing address
16 SE 16TH ST, LEES SUMMIT, MO 64081-3115
(913) 515-5525

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary

Other

Enumeration date
08/27/2025
Last updated
08/27/2025
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