institution
Heritage Manor - Lasalle, Llc
Oxygen Equipment & Supplies (DME) in Bloomington, Illinois
NPI 1366786444

Heritage Manor - Lasalle, Llc is a Oxygen Equipment & Supplies (DME) based in La Salle, IL and is specialized in Oxygen Equipment & Supplies. Heritage Manor - Lasalle, Llc practices in Bloomington, IL. The NPI Number for Heritage Manor - Lasalle, Llc is 1366786444 and holds a License No. (Illinois).

The current practice location address for Heritage Manor - Lasalle, Llc is 115 W Jefferson St, Bloomington, IL and can be reached out via phone at 309-828-4361 and via fax at 309-829-5477.

Location: 115 W Jefferson St, Bloomington, IL, 61301-1508
institution
Provider Profile Details
NPI Number
1366786444
Provider Name
Heritage Manor - Lasalle, Llc
Credential
Provider Entity Type
Organization
Address
115 W Jefferson St, Bloomington, IL, 61301-1508
Phone Number
309-828-4361
Fax Number
309-829-5477
Provider Enumeration Date
11/15/2012
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
115 W Jefferson St
City
State
Zip
61701-3946
Phone Number
309-828-4361
Fax Number
309-829-5477
person
Provider Business Mailing Address Details
Address
115 W Jefferson St
City
State
Zip
61701-3946
Phone Number
309-828-4361
Fax Number
309-829-5477
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
License No.
()
Definition
Definition to come...
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