Provider Demographics
NPI:1689973208
Name:DISCOUNT FURNITURE OUTLET WORLD OF KANNAPOLIS, INC
Entity Type:Organization
Organization Name:DISCOUNT FURNITURE OUTLET WORLD OF KANNAPOLIS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-932-8912
Mailing Address - Street 1:2001 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28081-2356
Mailing Address - Country:US
Mailing Address - Phone:704-932-8912
Mailing Address - Fax:704-932-0060
Practice Address - Street 1:2001 N MAIN ST
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28081-2356
Practice Address - Country:US
Practice Address - Phone:704-932-8912
Practice Address - Fax:704-932-0060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-22
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies