Organization
ENVIRONMENTAL MODIFICATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUY L. RILEY (OWNER)
(432) 557-2735
Entity
Organization
Contact information
Practice address
1706 N RIVER DR, SAN ANGELO, TX 76903-4306
(432) 638-7215
Mailing address
1706 N RIVER DR, SAN ANGELO, TX 76903-4306
(432) 638-7215
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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