Provider Demographics
NPI:1538527593
Name:J & R FURNITURE AND CARPET
Entity type:Organization
Organization Name:J & R FURNITURE AND CARPET
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-246-3640
Mailing Address - Street 1:1215 W NISHNA RD
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:IA
Mailing Address - Zip Code:51601-2115
Mailing Address - Country:US
Mailing Address - Phone:712-246-3640
Mailing Address - Fax:712-246-2686
Practice Address - Street 1:1215 W NISHNA RD
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:IA
Practice Address - Zip Code:51601-2115
Practice Address - Country:US
Practice Address - Phone:712-246-3640
Practice Address - Fax:712-246-2686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-05
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies