Organization
COLONY HOUSE FURNITURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY LEE BODE (OWNER)
(260) 354-5554
Entity
Organization
Contact information
Practice address
411 FRONT ST, LYNDEN, WA 98264-1920
(360) 354-5554
(360) 354-5554
Mailing address
411 FRONT ST, LYNDEN, WA 98264-1920
(360) 354-5554
(360) 354-5554
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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