Individual provider · Type 1 NPI
Hazel Forman
Home Modifications Contractor · Greensboro, NC
NPI number
1205428992
Active
Practice location
1200 Moody St
Greensboro, NC 27401-4217
Fax (336) 937-9157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Modifications Contractor | 171WH0202X | FCL-041-081 (NC) |
| Nursing Home Administrator | 376G00000X | None listed |
| Home Modifications Contractor Primary | 171WH0202X | FCL-041-082 (NC) |
Home Modifications Contractor: A contractor who makes modifications to homes to accommodate a health condition.
About NPI 1205428992
Hazel Forman's National Provider Identifier is 1205428992, issued on Feb 4, 2021. The primary taxonomy on file is Home Modifications Contractor (171WH0202X), and the practice location is in Greensboro, NC. The record was last updated on May 12, 2022.