Provider Demographics
NPI:1114204864
Name:TARJEFT HOME REPAIR
Entity Type:Organization
Organization Name:TARJEFT HOME REPAIR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:TARJEFT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-302-0573
Mailing Address - Street 1:2205 KIM DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-1921
Mailing Address - Country:US
Mailing Address - Phone:931-302-0573
Mailing Address - Fax:
Practice Address - Street 1:2205 KIM DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-1921
Practice Address - Country:US
Practice Address - Phone:931-302-0573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-09
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00006609171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty