institution
Heritage Manor - Carlinville, L.l.c.
Oxygen Equipment & Supplies (DME) in Carlinville, Illinois
NPI 1477703882

Heritage Manor - Carlinville, L.l.c. is a Oxygen Equipment & Supplies (DME) based in Bloomington, IL and is specialized in Oxygen Equipment & Supplies. Heritage Manor - Carlinville, L.l.c. practices in Carlinville, IL. The NPI Number for Heritage Manor - Carlinville, L.l.c. is 1477703882 and holds a License No. (Illinois).

The current practice location address for Heritage Manor - Carlinville, L.l.c. is 1200 University Avenue, Carlinville, IL and can be reached out via phone at 217-854-4433 and via fax at 217-854-6291.

Location: 1200 University Avenue, Carlinville, IL, 61701-3946
institution
Provider Profile Details
NPI Number
1477703882
Provider Name
Heritage Manor - Carlinville, L.l.c.
Credential
Provider Entity Type
Organization
Address
1200 University Avenue, Carlinville, IL, 61701-3946
Phone Number
217-854-4433
Fax Number
217-854-6291
Provider Enumeration Date
09/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
370909086806 01 IL PRIOR MEDICAID OXYGEN PROVIDER #
institution
Provider Business Practice Location Address Details
Address
1200 University Avenue
City
State
Zip
62626-9600
Phone Number
217-854-4433
Fax Number
217-854-6291
person
Provider Business Mailing Address Details
Address
1200 University Avenue
City
State
Zip
62626-9600
Phone Number
217-854-4433
Fax Number
217-854-6291
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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