Provider Demographics
NPI:1871895128
Name:ASSOCIATED BUILDERS INC.
Entity type:Organization
Organization Name:ASSOCIATED BUILDERS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:COSTINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-968-5611
Mailing Address - Street 1:212 AKARD PL
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-8602
Mailing Address - Country:US
Mailing Address - Phone:423-968-5611
Mailing Address - Fax:423-968-4612
Practice Address - Street 1:212 AKARD PL
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-8602
Practice Address - Country:US
Practice Address - Phone:423-968-5611
Practice Address - Fax:423-968-4612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-18
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty