Organization
TOP NOTCH CONSTRUCTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA S VICKERY (OWNER)
(219) 671-0771
Entity
Organization
Contact information
Practice address
4710 W 900 N, WHEATFIELD, IN 46392-9684
(219) 671-0771
(219) 956-0541
Mailing address
4710 W 900 N, WHEATFIELD, IN 46392-9684
(219) 671-0771
(219) 956-0541
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
200898230A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200898230A
—
IN
Enumeration date
12/03/2008
Last updated
12/03/2008
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