Provider Demographics
NPI:1689233900
Name:PRACO CONTRACTING LLC
Entity type:Organization
Organization Name:PRACO CONTRACTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:LIMRUC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-428-2197
Mailing Address - Street 1:3837 GLENHURST AVE
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-4915
Mailing Address - Country:US
Mailing Address - Phone:612-226-0871
Mailing Address - Fax:
Practice Address - Street 1:3837 GLENHURST AVE
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-4915
Practice Address - Country:US
Practice Address - Phone:612-226-0871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-10
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty