IndividualActive
Jeff Homich
NPI 1407504293 · Home Modifications Contractor · Hoyt Lakes, MN
Provider details
- NPI number
- 1407504293
- Entity type
- Individual
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
112 Wyandotte Rd
Hoyt Lakes, MN 55750-1224
Phone: (218) 994-2252
Approximate (ZIP-level) locationGet directions
Mailing address
112 Wyandotte Rd
Hoyt Lakes, MN 55750-1224
Registry dates
- Enumerated
- 2022-03-11
- Last updated
- 2022-03-11
- Certified
- 2022-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.