Provider Demographics
NPI:1609940279
Name:SOUTH CENTRAL BUILDERS & DEVELOPERS, LLC.
Entity Type:Organization
Organization Name:SOUTH CENTRAL BUILDERS & DEVELOPERS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:TIEMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-569-1092
Mailing Address - Street 1:1345 S. CR. 150 W.
Mailing Address - Street 2:
Mailing Address - City:BROWNSTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:47220
Mailing Address - Country:US
Mailing Address - Phone:812-569-1092
Mailing Address - Fax:812-358-3852
Practice Address - Street 1:1345 S COUNTY ROAD 150 W
Practice Address - Street 2:
Practice Address - City:BROWNSTOWN
Practice Address - State:IN
Practice Address - Zip Code:47220-9696
Practice Address - Country:US
Practice Address - Phone:812-569-1092
Practice Address - Fax:812-358-3852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty