Organization
DURRETT CONSTRUCTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD THOMAS HENDERSON JR. (REGIONAL MANAGER)
(843) 270-9191
Entity
Organization
Contact information
Practice address
3926 GREENLEAF AVENUE, KNOXVILLE, TN 37919
(843) 270-9191
Mailing address
3926 GREENLEAF AVENUE, KNOXVILLE, TN 37919
(843) 270-9191
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
00024330
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1530407
—
TN
Enumeration date
06/10/2013
Last updated
06/10/2013
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