Provider Demographics
NPI:1477229235
Name:ALLSTATE EXTERIORS LLC
Entity Type:Organization
Organization Name:ALLSTATE EXTERIORS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:DEMENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-852-2626
Mailing Address - Street 1:312 LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:OH
Mailing Address - Zip Code:43140-9069
Mailing Address - Country:US
Mailing Address - Phone:740-852-2626
Mailing Address - Fax:740-852-2201
Practice Address - Street 1:312 LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:OH
Practice Address - Zip Code:43140-9069
Practice Address - Country:US
Practice Address - Phone:740-852-2626
Practice Address - Fax:740-852-2201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty