Provider Demographics
NPI:1760905442
Name:MCK'S CONSTRUCTION CO., LLC
Entity Type:Organization
Organization Name:MCK'S CONSTRUCTION CO., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:MCKENDALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-235-9142
Mailing Address - Street 1:2658 GEORGE N CONNER ST.
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119
Mailing Address - Country:US
Mailing Address - Phone:504-235-9142
Mailing Address - Fax:504-309-7102
Practice Address - Street 1:2658 GEORGE N CONNER
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119
Practice Address - Country:US
Practice Address - Phone:504-235-9142
Practice Address - Fax:504-309-7102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-25
Last Update Date:2017-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty