Mark Andrew Wilk in Phoenix - Home Modifications
Mark Andrew Wilk - NPI 1790905131
Mark Andrew Wilk is a Home Modifications in Phoenix, Arizona. Mark Andrew Wilk practices all healthcare services and medical treatments related to Home Modifications. The NPI Number for Mark Andrew Wilk is 1790905131. The last update date is 2007-07-09.
Mark Andrew Wilk's current location address is 2011 W. Davis Road, Phoenix, Arizona. You can contact this provider via phone number 6029426421 and fax number 6025642840. The mailing address for Mark Andrew Wilk is 2011 W. Davis Road, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark Andrew Wilk |
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Address | 2011 W. Davis Road, Phoenix, Arizona |
Phone Number | 6029426421 |
Fax Number | 6025642840 |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1790905131 |
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Provider Enumeration Date | 2007-04-26 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 2011 W. Davis Road |
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City | Phoenix |
State | Arizona (AZ) |
Post Code | 850237802 |
Phone Number | 6029426421 |
Fax Number | 6025642840 |
Provider's Primary Taxonomy Detail
Speciality | Home Modifications |
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Taxonomy | 171Wh0202X |
Licence No | ROC 165112 |
Definition: A contractor who evaluates homes and installs modifications like ramps and grab bars to improve safety and accessibility. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
436908 | AZ | -- | |
631029 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark Andrew Wilk by the Centers for Medicare & Medicaid Services?
The Mark Andrew Wilk has been issued the NPI (National Provider Identifier) 1790905131, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark Andrew Wilk's facilities are geographically located?
The facilities of Mark Andrew Wilk are physically situated at the following location: 2011 W. Davis Road, Phoenix, AZ, 850237802.
What is the Mark Andrew Wilk's specialty and taxonomy code?
The Mark Andrew Wilk's specialty is Home Modifications, and the corresponding taxonomy code is 171Wh0202X.
On what date did Mark Andrew Wilk receive its 1790905131 assignment from the Centers for Medicare & Medicaid Services?
The Mark Andrew Wilk was assigned its 1790905131 on 2007-04-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Mark Andrew Wilk most recently updated or revised?
The details related to Mark Andrew Wilk, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.
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