Provider Demographics
NPI:1720354517
Name:ON THE LEVEL CONSTRUCTION, LLC
Entity Type:Organization
Organization Name:ON THE LEVEL CONSTRUCTION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:CARROLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-248-6910
Mailing Address - Street 1:200 CARROLL LN
Mailing Address - Street 2:
Mailing Address - City:PAMPLIN
Mailing Address - State:VA
Mailing Address - Zip Code:23958-2145
Mailing Address - Country:US
Mailing Address - Phone:434-248-6910
Mailing Address - Fax:434-248-6910
Practice Address - Street 1:200 CARROLL LN
Practice Address - Street 2:
Practice Address - City:PAMPLIN
Practice Address - State:VA
Practice Address - Zip Code:23958-2145
Practice Address - Country:US
Practice Address - Phone:434-248-6910
Practice Address - Fax:434-248-6910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2705 108547A332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies