Provider Demographics
NPI:1811148075
Name:MATTRESS EXPRESS BY WOODSTOCK FURNITURE
Entity type:Organization
Organization Name:MATTRESS EXPRESS BY WOODSTOCK FURNITURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:HONEYCUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-483-4717
Mailing Address - Street 1:PO BOX 3803
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39303-3803
Mailing Address - Country:US
Mailing Address - Phone:601-693-3320
Mailing Address - Fax:601-483-9552
Practice Address - Street 1:547B BONITA LAKES DR
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39301
Practice Address - Country:US
Practice Address - Phone:601-693-3320
Practice Address - Fax:601-483-9552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies