Provider Demographics
NPI:1992077101
Name:KNABLE GENERAL CONTRACTING SERVICES, L.L.C
Entity type:Organization
Organization Name:KNABLE GENERAL CONTRACTING SERVICES, L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:MELTON
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-594-7209
Mailing Address - Street 1:1685 ANDERSON HWY
Mailing Address - Street 2:
Mailing Address - City:POWHATAN
Mailing Address - State:VA
Mailing Address - Zip Code:23139-8048
Mailing Address - Country:US
Mailing Address - Phone:804-594-7209
Mailing Address - Fax:804-379-1824
Practice Address - Street 1:1685 ANDERSON HWY
Practice Address - Street 2:
Practice Address - City:POWHATAN
Practice Address - State:VA
Practice Address - Zip Code:23139-8048
Practice Address - Country:US
Practice Address - Phone:804-594-7209
Practice Address - Fax:804-379-1824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-02
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies