Organization
STATELY CONSTRUCTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLINTON J DEROLF (PARTNER)
(317) 506-0337
Entity
Organization
Contact information
Practice address
504 W HIGH ST, PENDLETON, IN 46064-1128
(317) 506-0337
(765) 778-3658
Mailing address
504 W HIGH ST, PENDLETON, IN 46064-1128
(317) 506-0337
(765) 778-3658
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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