institution
Heritage Manor - Peru, Llc
Oxygen Equipment & Supplies (DME) in Peru, Illinois
NPI 1164766861

Heritage Manor - Peru, Llc is a Oxygen Equipment & Supplies (DME) based in Bloomington, IL and is specialized in Oxygen Equipment & Supplies. Heritage Manor - Peru, Llc practices in Peru, IL. The NPI Number for Heritage Manor - Peru, Llc is 1164766861 and holds a License No. (Illinois).

The current practice location address for Heritage Manor - Peru, Llc is 1301 21St St, Peru, IL and can be reached out via phone at 815-223-4901 and via fax at 815-224-2497. You can also correspond with Heritage Manor - Peru, Llc through the mailing address at 115 W JEFFERSON ST, BLOOMINGTON, IL - 61701-3946 (mailing address contact number: 309-828-4361).

Location: 1301 21St St, Peru, IL, 61701-3946
institution
Provider Profile Details
NPI Number
1164766861
Provider Name
Heritage Manor - Peru, Llc
Credential
Provider Entity Type
Organization
Address
1301 21St St, Peru, IL, 61701-3946
Phone Number
815-223-4901
Fax Number
815-224-2497
Provider Enumeration Date
11/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1301 21St St
City
State
Zip
61354-1359
Phone Number
815-223-4901
Fax Number
815-224-2497
person
Provider Business Mailing Address Details
Address
1301 21St St
City
State
Zip
61354-1359
Phone Number
815-223-4901
Fax Number
815-224-2497
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
License No.
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Definition
Definition to come...
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