Provider Demographics
NPI:1770819278
Name:J&G LANDSCAPING, INC.
Entity Type:Organization
Organization Name:J&G LANDSCAPING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-594-2669
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:EMERADO
Mailing Address - State:ND
Mailing Address - Zip Code:58228-0009
Mailing Address - Country:US
Mailing Address - Phone:701-594-2669
Mailing Address - Fax:701-594-2939
Practice Address - Street 1:1811 24TH ST NE
Practice Address - Street 2:
Practice Address - City:EMERADO
Practice Address - State:ND
Practice Address - Zip Code:58228-9608
Practice Address - Country:US
Practice Address - Phone:701-594-2669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-19
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty