Provider Demographics
NPI:1114399235
Name:O'NEILL ENTERPRISES LLC
Entity Type:Organization
Organization Name:O'NEILL ENTERPRISES LLC
Other - Org Name:DAYTON DISCOUNT FURNITURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:O'NEILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-901-8842
Mailing Address - Street 1:636 SPORTS ST
Mailing Address - Street 2:
Mailing Address - City:FAIRBORN
Mailing Address - State:OH
Mailing Address - Zip Code:45324-5141
Mailing Address - Country:US
Mailing Address - Phone:937-668-5111
Mailing Address - Fax:
Practice Address - Street 1:636 SPORTS ST
Practice Address - Street 2:
Practice Address - City:FAIRBORN
Practice Address - State:OH
Practice Address - Zip Code:45324-5141
Practice Address - Country:US
Practice Address - Phone:937-668-5111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-28
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies