Thibodeaux Real Estate Conglomerate

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

THIBODEAUX REAL ESTATE CONGLOMERATE

Practice address

4245 Golden Valley Rd
Golden Valley, MN 55422-4215

Phone

(612) 203-3757

NPI assigned

Jun 11, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Diane Declouet Thibodeaux

Title

Relocation Service Provider

Phone

(612) 203-3757

Specialties & licenses 1

Addresses

Other names 1

• D.Thibodeaux Services Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1124687322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22362",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554220362",
            "telephone_number": "612-203-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 GOLDEN VALLEY RD",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224215",
            "telephone_number": "612-203-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIBODEAUX REAL ESTATE CONGLOMERATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "THIBODEAUX",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "DECLOUET",
        "authorized_official_title_or_position": "RELOCATION SERVICE PROVIDER",
        "authorized_official_telephone_number": "612-203-3757",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D.Thibodeaux Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marilyn J Thompson, PT

• Lodging Provider in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Lodging Provider in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.