Provider Demographics
NPI:1649407149
Name:ROGERS CITY HOME FURNISHINGS
Entity Type:Organization
Organization Name:ROGERS CITY HOME FURNISHINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:E
Authorized Official - Last Name:BRUSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-734-4771
Mailing Address - Street 1:PO BOX 76
Mailing Address - Street 2:183 SOUTH THIRD STREET
Mailing Address - City:ROGERS CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49779-0076
Mailing Address - Country:US
Mailing Address - Phone:989-734-4771
Mailing Address - Fax:989-734-2836
Practice Address - Street 1:183 S THIRD ST
Practice Address - Street 2:
Practice Address - City:ROGERS CITY
Practice Address - State:MI
Practice Address - Zip Code:49779-1709
Practice Address - Country:US
Practice Address - Phone:989-734-4771
Practice Address - Fax:989-734-2836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-11
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1649407149332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies