Provider Demographics
NPI:1326459132
Name:JOHN ROBERT CONSTRUCTION & REPAIR
Entity Type:Organization
Organization Name:JOHN ROBERT CONSTRUCTION & REPAIR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:RHODEBACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-337-9475
Mailing Address - Street 1:11474 PINHOOK RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23146-1507
Mailing Address - Country:US
Mailing Address - Phone:804-337-9475
Mailing Address - Fax:
Practice Address - Street 1:11474 PINHOOK RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:VA
Practice Address - Zip Code:23146-1507
Practice Address - Country:US
Practice Address - Phone:804-337-9475
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-14
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty