Organization
MID AMERICA FIBERGLASS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT W HEWITT (OWNER)
(574) 808-4143
Entity
Organization
Contact information
Practice address
9298 N 1128 W, MONTICELLO, IN 47960-8171
(574) 808-4143
Mailing address
9298 N 1128 W, MONTICELLO, IN 47960-8171
(574) 808-4143
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
04/16/2007
Last updated
06/16/2008
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