Livewell Builders
NPI #1477834919 in Tijeras, New Mexico
Provider Information
- NPI Number
- 1477834919
- Entity Type
- Organization
- Organization Name
- Livewell Builders
- Primary Specialty
- Contractor - Home Modifications
- Enumeration Date
- Aug 29, 2011
- Last Updated
- Aug 29, 2011
Practice Location
- Address
- 30 SHADE TREE LN
- City
- Tijeras
- State
- New Mexico
- ZIP Code
- 87059-7637
- Phone
- (505) 281-9109
Authorized Official
- Name
- RONALD EDGAR GLOETZNER, GB-98
- Title
- OWNER
- Phone
- (505) 281-9109
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor - Home Modifications — Home Modifications |
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