Organization
DIAMOND IN THE ROUGH CONSTRUCTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN ANNE O'BRIEN (PRESIDENT)
(216) 402-3934
Entity
Organization
Contact information
Practice address
2477 NORTHVIEW RD, ROCKY RIVER, OH 44116-3514
(216) 402-3934
Mailing address
2477 NORTHVIEW RD, ROCKY RIVER, OH 44116-3514
(216) 402-3934
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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