Provider Demographics
NPI:1801103148
Name:GREENWORKS CONSTRUCTION LLC
Entity type:Organization
Organization Name:GREENWORKS CONSTRUCTION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:DICICCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-947-8857
Mailing Address - Street 1:1500 VILLAGE WEST DR # 29
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78733-1977
Mailing Address - Country:US
Mailing Address - Phone:512-947-8857
Mailing Address - Fax:
Practice Address - Street 1:1908 CANYON EDGE DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78733-2007
Practice Address - Country:US
Practice Address - Phone:512-947-8857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty