Healthcare Provider Details

I. General information

NPI: 1447583356
Provider Name (Legal Business Name): HUIZINGH'S FURNITURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

528 28TH ST SE
GRAND RAPIDS MI
49548-1263
US

IV. Provider business mailing address

528 28TH ST SE
GRAND RAPIDS MI
49548-1263
US

V. Phone/Fax

Practice location:
  • Phone: 616-241-6524
  • Fax: 616-241-6525
Mailing address:
  • Phone: 616-241-6524
  • Fax: 616-241-6525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateMI

VIII. Authorized Official

Name: MR. MARK H HUIZINGH
Title or Position: PRESIDENT
Credential:
Phone: 616-241-6524