Provider Demographics
NPI:1841600111
Name:LOWER VALLEY HOME FURNISHINGS
Entity Type:Organization
Organization Name:LOWER VALLEY HOME FURNISHINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-882-6342
Mailing Address - Street 1:5690 LOWER VALLEY PIKE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45502-9101
Mailing Address - Country:US
Mailing Address - Phone:937-882-6342
Mailing Address - Fax:937-882-6343
Practice Address - Street 1:5690 LOWER VALLEY PIKE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45502-9101
Practice Address - Country:US
Practice Address - Phone:937-882-6342
Practice Address - Fax:937-882-6343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-07
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies