Organization
MODPLUS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY BAXTER (SOLE MEMBER)
(419) 605-2989
Entity
Organization
Contact information
Practice address
3671 HARRISON CENTER RD, CONVOY, OH 45832-8929
(419) 605-2989
Mailing address
3671 HARRISON CENTER RD, CONVOY, OH 45832-8929
(419) 605-2989
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102220
—
OH
Enumeration date
03/16/2015
Last updated
03/16/2015
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