Provider Demographics
NPI:1033471032
Name:SUMMERS FURNITURE
Entity Type:Organization
Organization Name:SUMMERS FURNITURE
Other - Org Name:A AND L TECHNOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUMMERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-479-5145
Mailing Address - Street 1:321 WALLACE ST STE 1
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-3122
Mailing Address - Country:US
Mailing Address - Phone:540-373-7676
Mailing Address - Fax:800-850-4576
Practice Address - Street 1:321 WALLACE ST STE 1
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-3122
Practice Address - Country:US
Practice Address - Phone:540-373-7676
Practice Address - Fax:800-850-4576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies