Provider Demographics
NPI: | 1952841918 |
---|---|
Name: | ALL SEASONS CONSTRUCTION CORP |
Entity Type: | Organization |
Organization Name: | ALL SEASONS CONSTRUCTION CORP |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | DAVID |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | DANCOSSE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 802-885-5722 |
Mailing Address - Street 1: | PO BOX 590 |
Mailing Address - Street 2: | |
Mailing Address - City: | SPRINGFIELD |
Mailing Address - State: | VT |
Mailing Address - Zip Code: | 05156-0590 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 802-885-5722 |
Mailing Address - Fax: | 802-885-2313 |
Practice Address - Street 1: | 76 HARTNESS AVE |
Practice Address - Street 2: | |
Practice Address - City: | SPRINGFIELD |
Practice Address - State: | VT |
Practice Address - Zip Code: | 05156-2711 |
Practice Address - Country: | US |
Practice Address - Phone: | 802-885-5722 |
Practice Address - Fax: | 802-885-2313 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2017-02-24 |
Last Update Date: | 2017-02-24 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
VT | 171WH0202X | 171W00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 171W00000X | Other Service Providers | Contractor | Group - Single Specialty |