| Organization Name: | COLONY HOUSE FURNITURE |
| NPI Number: | 1295010221 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY LEE BODE (OWNER) |
| Mailing Address: | 411 Front St Lynden |
| State: | WA US |
| Postal Code: | 982641920 |
| Phone Number: | 3603545554 |
| Fax Number: | 3603545554 |
| NPI Enumeration Date: | 10/21/2011 |
| NPI Last Update Date: | 10/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |