Provider Demographics
NPI:1962734418
Name:HOME FURNISHINGS DIRECT
Entity type:Organization
Organization Name:HOME FURNISHINGS DIRECT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CLARENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOTTMAN
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:785-554-9625
Mailing Address - Street 1:1800 SW WANAMAKER RD
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-3825
Mailing Address - Country:US
Mailing Address - Phone:785-271-7171
Mailing Address - Fax:
Practice Address - Street 1:1800 SW WANAMAKER RD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-3825
Practice Address - Country:US
Practice Address - Phone:785-271-7171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies