Organization
HOME PRO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DOUGLAS IDDINGS (OWNER)
(303) 809-3558
Entity
Organization
Contact information
Practice address
6362 PRAIRIE LN, EVERGREEN, CO 80439-6512
(303) 809-3558
(303) 674-5812
Mailing address
6362 PRAIRIE LN, EVERGREEN, CO 80439-6512
(303) 809-3558
(303) 674-5812
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
772147
CO
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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