IndividualActive
Ovadia Bencionov
NPI 1861184970 · Home Modifications Contractor · Burnsville, MN
Provider details
- NPI number
- 1861184970
- Entity type
- Individual
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- BC788528 (MN)
Specialties & taxonomies
Other Service Providers
Practice location
11975 Portland Ave Ste 100
Burnsville, MN 55337-1530
Phone: (832) 782-7813
Approximate (ZIP-level) locationGet directions
Mailing address
11975 Portland Ave Ste 100
Burnsville, MN 55337-1530
Registry dates
- Enumerated
- 2023-05-25
- Last updated
- 2023-05-25
- Certified
- 2023-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.