Organization
GRIZZLY CONSTRUCTION CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA BECERRA (CHIEF ACCOUNTABILITY OFFICER)
(612) 505-9125
Entity
Organization
Contact information
Practice address
718 WASHINGTON AVE N, MINNEAPOLIS, MN 55401-1131
(612) 505-9125
Mailing address
718 WASHINGTON AVE N, MINNEAPOLIS, MN 55401-1131
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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