Organization
EPPS MAINTENANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROSCOE EPPS IV (OWNER)
(803) 645-2782
Entity
Organization
Contact information
Practice address
319 OUTING CLUB RD, AIKEN, SC 29801-8689
(803) 645-2782
Mailing address
319 OUTING CLUB RD, AIKEN, SC 29801-8689
(803) 645-2782
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01168112
LICENSE NUMBER
SC
Enumeration date
03/03/2020
Last updated
03/03/2020
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