Provider Demographics
NPI:1184487670
Name:PRICE CONSTRUCTION AND RENOVATION LLC
Entity type:Organization
Organization Name:PRICE CONSTRUCTION AND RENOVATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-514-5548
Mailing Address - Street 1:320 BROOKES DR STE 227A
Mailing Address - Street 2:
Mailing Address - City:HAZELWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63042-2733
Mailing Address - Country:US
Mailing Address - Phone:314-514-5548
Mailing Address - Fax:314-787-4572
Practice Address - Street 1:320 BROOKES DR STE 227A
Practice Address - Street 2:
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-2733
Practice Address - Country:US
Practice Address - Phone:314-514-5548
Practice Address - Fax:314-787-4572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-06
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty