Provider Demographics
NPI:1548013139
Name:D.A. CONSTRUCTION
Entity type:Organization
Organization Name:D.A. CONSTRUCTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DOUG
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:ANDRUS
Authorized Official - Suffix:I
Authorized Official - Credentials:MASTER CRAFTSMAN
Authorized Official - Phone:937-541-1277
Mailing Address - Street 1:575 W GEISERMAN RD
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-8507
Mailing Address - Country:US
Mailing Address - Phone:937-541-1277
Mailing Address - Fax:937-778-0568
Practice Address - Street 1:575 W GEISERMAN RD
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-8507
Practice Address - Country:US
Practice Address - Phone:937-541-1277
Practice Address - Fax:937-778-0568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care