Organization
RELIABLE CONSTRUCTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH L BLANK I (OWNER)
(480) 854-4477
Entity
Organization
Contact information
Practice address
3026 E BACKUS RD, MESA, AZ 85213-3117
(480) 854-4477
(480) 854-4410
Mailing address
3026 E BACKUS RD, MESA, AZ 85213-3117
(480) 854-4477
(480) 854-4410
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
418534
AHCCCS#
AZ
Enumeration date
06/05/2007
Last updated
08/22/2020
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