Provider Demographics
NPI:1164695391
Name:YOUNGSTOWN CONTRACTING, INC.
Entity Type:Organization
Organization Name:YOUNGSTOWN CONTRACTING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALYSIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MENZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-759-1044
Mailing Address - Street 1:5772 SAMPSON DR
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:OH
Mailing Address - Zip Code:44420-3511
Mailing Address - Country:US
Mailing Address - Phone:330-759-1044
Mailing Address - Fax:234-855-1045
Practice Address - Street 1:5772 SAMPSON DR
Practice Address - Street 2:
Practice Address - City:GIRARD
Practice Address - State:OH
Practice Address - Zip Code:44420-3511
Practice Address - Country:US
Practice Address - Phone:330-759-1044
Practice Address - Fax:234-855-1045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH78074688332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies