Provider Demographics
NPI:1275999088
Name:EANDECONST.CO.
Entity Type:Organization
Organization Name:EANDECONST.CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CONTRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:ENRIQUE
Authorized Official - Middle Name:SANCHEZ
Authorized Official - Last Name:BUENO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:575-202-6972
Mailing Address - Street 1:8052 GROUSE RUN DR
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88012-9256
Mailing Address - Country:US
Mailing Address - Phone:575-202-6972
Mailing Address - Fax:188-897-5022
Practice Address - Street 1:8052 GROUSE RUN DR
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88012-9256
Practice Address - Country:US
Practice Address - Phone:575-202-6972
Practice Address - Fax:188-897-5022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-08
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty