Provider Demographics
NPI:1275769572
Name:HOME FURNITURE & APPLIANCE INC
Entity type:Organization
Organization Name:HOME FURNITURE & APPLIANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRES
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEALY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-781-2925
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-0066
Mailing Address - Country:US
Mailing Address - Phone:803-781-2925
Mailing Address - Fax:803-749-1229
Practice Address - Street 1:1201 LAKE MURRAY BLVD
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-2826
Practice Address - Country:US
Practice Address - Phone:803-781-2925
Practice Address - Fax:803-749-1229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC032086206332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment