Provider Demographics
NPI:1376394163
Name:BL BUILDING & REMODELING LLC
Entity Type:Organization
Organization Name:BL BUILDING & REMODELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:
Authorized Official - Last Name:PETRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-465-6785
Mailing Address - Street 1:98 W RIVER RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY CITY
Mailing Address - State:OH
Mailing Address - Zip Code:44280-9516
Mailing Address - Country:US
Mailing Address - Phone:440-465-6785
Mailing Address - Fax:330-483-6008
Practice Address - Street 1:98 W RIVER RD
Practice Address - Street 2:
Practice Address - City:VALLEY CITY
Practice Address - State:OH
Practice Address - Zip Code:44280-9516
Practice Address - Country:US
Practice Address - Phone:440-465-6785
Practice Address - Fax:330-483-6008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities