GRANDTAG MADISONREALTY LLC NPI 1730678756

NPI Information

GRANDTAG MADISONREALTY LLC is a contractor in Claremont, CA. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). GRANDTAG MADISONREALTY LLC NPI is 1730678756. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

501 S COLLEGE AVE
CLAREMONT, CA
ZIP 91711-527
Phone: (909) 686-0117

The provider's authorized official is Forbes Willard Burdette .
The authorized official title is Managing Director and has the following contact phone number (626) 796-8700.

The enumeration date for this NPI number is 5/4/2018 and was last updated on 5/4/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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