Organization
DRIFTWOOD CONSTRUCTION
Active
Other names
Driftwood Construction
Organization subpart
No
Provider details
NPI number
Authorized official
DARL WEST (OWNER)
(907) 401-1135
Entity
Organization
Contact information
Practice address
FIRST AND JONES STREET, KASAAN, AK 99950-0340
(907) 401-1135
Mailing address
P.O. BOX KXA, BLOCK 2 LOT 25, KETCHIKAN, AK 99950-0340
(907) 401-1135
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1002528
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1616051
—
AK
Enumeration date
10/30/2015
Last updated
10/30/2015
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