Individual provider · Type 1 NPI
Glen Wayne Martin
Home Modifications Contractor · Danville, IL
NPI number
1982349833
Active
Practice location
218 N Logan Ave
Danville, IL 61832-5655
Mailing address
108 Lakeside Dr
Danville, IL 61832-1317
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Modifications Contractor Primary | 171WH0202X | B-0014 (IL) |
Home Modifications Contractor: A contractor who makes modifications to homes to accommodate a health condition.
Other home modifications contractor providers in Danville
About NPI 1982349833
Glen Wayne Martin's National Provider Identifier is 1982349833, issued on May 4, 2022. The primary taxonomy on file is Home Modifications Contractor (171WH0202X), and the practice location is in Danville, IL. The record was last updated on May 4, 2022.