NPI 1104247733
Tidewater Home Modifiers LLC
Practice location
- Address
- 206 Marina CT, Chesapeake, VA 23320-3402
- Phone
- (757) 618-4064
Authorised official
- Name
- Chestley Thomas Cowling
- Title
- Owner/Member
- Phone
- (757) 618-4064
Registered specialties
Home Modifications Contractor
Primary
Registry record
- NPI
- 1104247733
- Entity type
- Organization
- NPI issued
- 28 Dec 2013
- Record last updated
- 28 Dec 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.