Organization
TANNER/ZAREMBA CONST CO., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN TANNER BUILDING CONTRACTOR (PRESIDENT)
(540) 423-1055
Entity
Organization
Contact information
Practice address
1207 SPOTSWOOD DR, LOCUST GROVE, VA 22508-2139
(540) 423-1055
Mailing address
1207 SPOTSWOOD DR, LOCUST GROVE, VA 22508-2139
(540) 423-1055
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
2701022436
VA
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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