Provider Demographics
NPI: | 1669806550 |
---|---|
Name: | ALRAY CONSTRUCTION AND CONSULTING LLC |
Entity type: | Organization |
Organization Name: | ALRAY CONSTRUCTION AND CONSULTING LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | RAYMOND |
Authorized Official - Middle Name: | A |
Authorized Official - Last Name: | NOEL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 850-554-8662 |
Mailing Address - Street 1: | 133 HAZEL DR |
Mailing Address - Street 2: | |
Mailing Address - City: | NEW ORLEANS |
Mailing Address - State: | LA |
Mailing Address - Zip Code: | 70123-3522 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 850-554-8662 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 133 HAZEL DR |
Practice Address - Street 2: | |
Practice Address - City: | NEW ORLEANS |
Practice Address - State: | LA |
Practice Address - Zip Code: | 70123-3522 |
Practice Address - Country: | US |
Practice Address - Phone: | 850-554-8662 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-08-27 |
Last Update Date: | 2013-11-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
LA | 555649 | 171WH0202X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 171WH0202X | Other Service Providers | Contractor | Home Modifications | Group - Single Specialty |