Organization
CAPITAL CITY CUSTOM HOME IMPROVEMENT LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT L REED II (OWNER)
(740) 474-4299
Entity
Organization
Contact information
Practice address
9635 US HIGHWAY 22 E, STOUTSVILLE, OH 43154-9607
(740) 474-4299
(740) 474-4297
Mailing address
9635 US HIGHWAY 22 E, STOUTSVILLE, OH 43154-9607
(740) 474-4299
(740) 474-4297
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
171WH0202X
Home Modifications Contractor
—
—
171WV0202X
Vehicle Modifications Contractor
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084332
—
OH
Enumeration date
04/17/2014
Last updated
05/31/2019
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