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Organization

B.R. COLLINS CONSTRUCTION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BOBBY R COLLINS (PRESIDENT)
(318) 443-7369
Entity
Organization

Contact information

Practice address
111 FENDLER PKWY, PINEVILLE, LA 71360-4772
(318) 443-7369
Mailing address
111 FENDLER PKWY, PINEVILLE, LA 71360-4772
(318) 443-7369

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
42413
LA

Other

Enumeration date
12/17/2008
Last updated
12/17/2008
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