Organization
DIVERSIFIED CONTRACTORS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELEANOR ROSE CRAIGHEAD RN, BSN (OWNER/SOLE PROPRIETOR)
(276) 692-6092
Entity
Organization
Contact information
Practice address
1731 EVERGREEN DR, SPENCER, VA 24165-3057
(276) 692-6092
(276) 957-2402
Mailing address
1731 EVERGREEN DR, SPENCER, VA 24165-3057
(276) 692-6092
(276) 957-2402
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
0001153362
VA
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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