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Goldwater Pontiac Nursing Home Llc
Durable Medical Equipment & Medical Supplies in Pontiac, Illinois
NPI 1174244917

Goldwater Pontiac Nursing Home Llc is a Durable Medical Equipment & Medical Supplies based in Lincolnwood, IL. Goldwater Pontiac Nursing Home Llc practices in Pontiac, IL. The NPI Number for Goldwater Pontiac Nursing Home Llc is 1174244917 and holds a License No. (Illinois).

The current practice location address for Goldwater Pontiac Nursing Home Llc is 1225 S Ewing Dr, Pontiac, IL and can be reached out via phone at 815-844-5121. You can also correspond with Goldwater Pontiac Nursing Home Llc through the mailing address at 4655 W CHASE AVE, LINCOLNWOOD, IL - 60712-1605 (mailing address contact number: 847-262-3800).

Location: 1225 S Ewing Dr, Pontiac, IL, 60712-1605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174244917
Provider Name
Goldwater Pontiac Nursing Home Llc
Credential
Provider Entity Type
Organization
Address
1225 S Ewing Dr, Pontiac, IL, 60712-1605
Phone Number
815-844-5121
Fax Number
Provider Enumeration Date
09/09/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1225 S Ewing Dr
City
Pontiac
State
Illinois
Zip
61764-9701
Phone Number
815-844-5121
Fax Number
person
Provider Business Mailing Address Details
Address
1225 S Ewing Dr
City
Pontiac
State
Illinois
Zip
61764-9701
Phone Number
815-844-5121
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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