Organization Name: | AMISH OAK FURNITURE COMPANY |
NPI Number: | 1295910669 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRIS D TUTTLE (PRESIDENT/CEO) |
Mailing Address: | 268 W Main St Loudonville |
State: | OH US |
Postal Code: | 448421134 |
Phone Number: | 4199945595 |
Fax Number: | 4199943860 |
NPI Enumeration Date: | 01/04/2008 |
NPI Last Update Date: | 01/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |