Provider Demographics
NPI:1376843219
Name:BUTLERS FURNITURE INC
Entity Type:Organization
Organization Name:BUTLERS FURNITURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:O'DONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-689-0997
Mailing Address - Street 1:1211 MT.COBB ROAD
Mailing Address - Street 2:
Mailing Address - City:MOUNT COBB
Mailing Address - State:PA
Mailing Address - Zip Code:18436-3218
Mailing Address - Country:US
Mailing Address - Phone:570-689-0997
Mailing Address - Fax:570-689-4817
Practice Address - Street 1:1211 MT.COBB ROAD
Practice Address - Street 2:
Practice Address - City:MOUNT COBB
Practice Address - State:PA
Practice Address - Zip Code:18436-3218
Practice Address - Country:US
Practice Address - Phone:570-689-0997
Practice Address - Fax:570-689-4817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies