Organization
P.G. BUILDERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN JOSEPH KEBECK (VICE PRESIDENT)
(301) 346-1902
Entity
Organization
Contact information
Practice address
7805 OLD GEORGETOWN RD STE 203, BETHESDA, MD 20814-2460
(301) 346-1902
(301) 470-2832
Mailing address
8044 SAVAGE GUILFORD RD, JESSUP, MD 20794-9674
(301) 346-1902
(301) 470-2832
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
20739
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5982011-00
NPI # OLDER ADULTS
MD
01
—
980200200
LIVING AT HOME PROVIDER #
MD
05
—
9802011-00
—
MD
Enumeration date
05/17/2013
Last updated
05/17/2013
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