Provider Demographics
NPI:1629219373
Name:TOWER PARK CONSTRUCTION, LTD.
Entity Type:Organization
Organization Name:TOWER PARK CONSTRUCTION, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:H
Authorized Official - Last Name:BUDZOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-425-7325
Mailing Address - Street 1:1521 HIGHLAND RD
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-2254
Mailing Address - Country:US
Mailing Address - Phone:330-425-7325
Mailing Address - Fax:330-425-2745
Practice Address - Street 1:1521 HIGHLAND RD
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-2254
Practice Address - Country:US
Practice Address - Phone:330-425-7325
Practice Address - Fax:330-425-2745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-10
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty