Provider Demographics
NPI:1700643079
Name:HOME IMPROVEMENT SERVICES BY DAVE LLC
Entity Type:Organization
Organization Name:HOME IMPROVEMENT SERVICES BY DAVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:FISK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-956-7179
Mailing Address - Street 1:PO BOX 474
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:CO
Mailing Address - Zip Code:80530-0474
Mailing Address - Country:US
Mailing Address - Phone:303-956-7179
Mailing Address - Fax:
Practice Address - Street 1:107 WALNUT ST
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:CO
Practice Address - Zip Code:80530-0474
Practice Address - Country:US
Practice Address - Phone:303-956-7179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty