Provider Demographics
NPI:1942830476
Name:M.R. HESS HOME WORKS, INC.
Entity Type:Organization
Organization Name:M.R. HESS HOME WORKS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/PEER SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:RIQUI
Authorized Official - Middle Name:
Authorized Official - Last Name:HESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-252-6652
Mailing Address - Street 1:PO BOX 334
Mailing Address - Street 2:
Mailing Address - City:WATKINS GLEN
Mailing Address - State:NY
Mailing Address - Zip Code:14891-0334
Mailing Address - Country:US
Mailing Address - Phone:607-252-6652
Mailing Address - Fax:
Practice Address - Street 1:323 OWEGO ST
Practice Address - Street 2:
Practice Address - City:MONTOUR FALLS
Practice Address - State:NY
Practice Address - Zip Code:14865-9625
Practice Address - Country:US
Practice Address - Phone:607-252-6652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-23
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty