Organization
BLACK BRONCO CONSTRUCTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIRAS MAHMOOD (DIRECTOR)
(614) 313-7374
Entity
Organization
Contact information
Practice address
6770 LAUFFER RD, COLUMBUS, OH 43231-1676
(614) 313-7374
Mailing address
6770 LAUFFER RD, COLUMBUS, OH 43231-1676
(614) 313-7374
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
02/25/2021
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