Organization
AVENUE MEDICAL CONSTRUCTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM B SAMUEL ATP, CAPS (MANAGING MEMBER)
(302) 674-0907
Entity
Organization
Contact information
Practice address
243 QUIGLEY BLVD STE J, NEW CASTLE, DE 19720-4191
(302) 674-0907
(302) 674-1421
Mailing address
243 QUIGLEY BLVD STE J, NEW CASTLE, DE 19720-4191
(302) 674-0907
(302) 674-1421
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
2007602801
DE
Other
Enumeration date
04/03/2014
Last updated
02/06/2019
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