Healthcare Provider Details

I. General information

NPI: 1699050070
Provider Name (Legal Business Name): ESCANABA FURNITURE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2011
Last Update Date: 10/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1809 N LINCOLN RD
ESCANABA MI
49829-2501
US

IV. Provider business mailing address

1809 N LINCOLN RD
ESCANABA MI
49829-2501
US

V. Phone/Fax

Practice location:
  • Phone: 906-786-1313
  • Fax: 906-786-1448
Mailing address:
  • Phone: 906-786-1313
  • Fax: 906-786-1448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. KEVIN S WARM
Title or Position: PRESIDENT
Credential:
Phone: 906-786-1313