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Organization

FRONT PORCH CUSTOM BUILDERS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RANDY COLVIN (OWNER/MEMBER)
(614) 307-4021
Entity
Organization

Contact information

Practice address
5667 YORK RD SW, PATASKALA, OH 43062-7423
(614) 307-4021
Mailing address
5667 YORK RD SW, PATASKALA, OH 43062-7423
(614) 307-4021

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
251E00000X
Home Health Agency

Other

Enumeration date
10/18/2021
Last updated
10/18/2021
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