institution
Provena Home Health Inc
Home Infusion Agency in Champaign, Illinois
NPI 1043269442

Provena Home Health Inc is a Home Infusion Agency based in Frankfort, IL. Provena Home Health Inc practices in Champaign, IL. The NPI Number for Provena Home Health Inc is 1043269442 and holds a License No. 1010264 (Illinois).

The current practice location address for Provena Home Health Inc is 2018 Glenn Park Drive, Champaign, IL and can be reached out via phone at 217-355-4120 and via fax at 217-355-4121.

Location: 2018 Glenn Park Drive, Champaign, IL, 60423-8334
institution
Provider Profile Details
NPI Number
1043269442
Provider Name
Provena Home Health Inc
Credential
Provider Entity Type
Organization
Address
2018 Glenn Park Drive, Champaign, IL, 60423-8334
Phone Number
217-355-4120
Fax Number
217-355-4121
Provider Enumeration Date
05/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01023562 01 IL BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2018 Glenn Park Drive
City
State
Zip
61821-9961
Phone Number
217-355-4120
Fax Number
217-355-4121
person
Provider Business Mailing Address Details
Address
2018 Glenn Park Drive
City
State
Zip
61821-9961
Phone Number
217-355-4120
Fax Number
217-355-4121
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Infusion
Speciality
-
Taxonomy
License No.
1010264 (Illinois)
Definition
Definition to come...
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