Provider Demographics
NPI:1902039217
Name:JC'S HOME IMPROVEMENTS INC
Entity Type:Organization
Organization Name:JC'S HOME IMPROVEMENTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JUNIOR
Authorized Official - Last Name:CREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-579-1419
Mailing Address - Street 1:2172 REVEREND COLEMAN RD
Mailing Address - Street 2:
Mailing Address - City:CLOVER
Mailing Address - State:VA
Mailing Address - Zip Code:24534-3216
Mailing Address - Country:US
Mailing Address - Phone:434-579-1419
Mailing Address - Fax:434-454-6343
Practice Address - Street 1:2172 REVEREND COLEMAN RD
Practice Address - Street 2:
Practice Address - City:CLOVER
Practice Address - State:VA
Practice Address - Zip Code:24534-3216
Practice Address - Country:US
Practice Address - Phone:434-579-1419
Practice Address - Fax:434-454-6343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2705116595171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty