Provider Demographics
NPI:1366045049
Name:PARRIS CONSTRUCTION LLC
Entity Type:Organization
Organization Name:PARRIS CONSTRUCTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:TELEMAQUE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:609-510-8248
Mailing Address - Street 1:20 ESSEX LN
Mailing Address - Street 2:
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046-2243
Mailing Address - Country:US
Mailing Address - Phone:609-510-8248
Mailing Address - Fax:
Practice Address - Street 1:20 ESSEX LN
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-2243
Practice Address - Country:US
Practice Address - Phone:609-510-8248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-17
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care