Provider Demographics
NPI:1467015412
Name:S & D LAWN CARE SERVICES CORP
Entity Type:Organization
Organization Name:S & D LAWN CARE SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAUL
Authorized Official - Middle Name:O
Authorized Official - Last Name:MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-650-0877
Mailing Address - Street 1:9526 ARGYLE FOREST BLVD UNIT B2
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32222-2827
Mailing Address - Country:US
Mailing Address - Phone:904-651-5010
Mailing Address - Fax:
Practice Address - Street 1:8421 CHESWICK OAK AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-7354
Practice Address - Country:US
Practice Address - Phone:904-651-5010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-16
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty