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Organization

TRI-COASTAL MANAGEMENT GROUP, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RODNEY DINEZ-CATRALLE BARNES (PRES/CEO)
(804) 680-3013
Entity
Organization

Contact information

Practice address
124 N FERN AVE, HIGHLAND SPRINGS, VA 23075-1441
(804) 680-3013
(804) 545-3901
Mailing address
PO BOX 2292, CHESTER, VA 23831-8444
(804) 680-3013
(804) 545-3901

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
VA
171WH0202X
Home Modifications Contractor
VA

Other

Enumeration date
11/02/2007
Last updated
11/02/2007
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