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Organization

MOUNTAIN HERITAGE BUILDERS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS ANTHONY SALVATI III (MANAGER)
(423) 232-6440
Entity
Organization

Contact information

Practice address
100 SPRING ST, JOHNSON CITY, TN 37604-5773
(423) 232-6440
(888) 726-5506
Mailing address
100 SPRING ST, JOHNSON CITY, TN 37604-5773
(423) 232-6440
(888) 726-5506

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
30967
TN

Other

Enumeration date
09/17/2010
Last updated
09/17/2010
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