Organization
MOBILE HOME SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEWIS M NOLEN (OWNER)
(509) 966-8495
Entity
Organization
Contact information
Practice address
322 HORSESHOE BEND RD, GOLDENDALE, WA 98620-3604
(509) 966-8495
(509) 248-0648
Mailing address
PO BOX 9391, YAKIMA, WA 98909-0391
(509) 966-8495
(509) 248-0648
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
MOBILHS088MP
WA
Other
Enumeration date
03/30/2014
Last updated
03/30/2014
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