Provider Demographics
NPI:1457115800
Name:TWISTED BOARD CONSTRUCTION CO.
Entity Type:Organization
Organization Name:TWISTED BOARD CONSTRUCTION CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:R
Authorized Official - Last Name:SHILLINGBURG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-701-3688
Mailing Address - Street 1:3383 CURTIS ST
Mailing Address - Street 2:
Mailing Address - City:MOGADORE
Mailing Address - State:OH
Mailing Address - Zip Code:44260-1007
Mailing Address - Country:US
Mailing Address - Phone:330-701-3688
Mailing Address - Fax:
Practice Address - Street 1:3383 CURTIS ST
Practice Address - Street 2:
Practice Address - City:MOGADORE
Practice Address - State:OH
Practice Address - Zip Code:44260-1007
Practice Address - Country:US
Practice Address - Phone:330-701-3688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty