Provider Demographics
NPI:1669715397
Name:OCEL BUILDERS, INC.
Entity type:Organization
Organization Name:OCEL BUILDERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:QUILLEN
Authorized Official - Last Name:OCEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-755-4563
Mailing Address - Street 1:19215 FLAGSTAFF AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55024-9208
Mailing Address - Country:US
Mailing Address - Phone:651-755-4563
Mailing Address - Fax:
Practice Address - Street 1:19215 FLAGSTAFF AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55024-9208
Practice Address - Country:US
Practice Address - Phone:651-755-4563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-01
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNBC590012171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty