institution
Heritage Manor - Mt. Zion, L.l.c.
Oxygen Equipment & Supplies (DME) in Mt Zion, Illinois
NPI 1497908974

Heritage Manor - Mt. Zion, L.l.c. is a Oxygen Equipment & Supplies (DME) based in Bloomington, IL and is specialized in Oxygen Equipment & Supplies. Heritage Manor - Mt. Zion, L.l.c. practices in Mt Zion, IL. The NPI Number for Heritage Manor - Mt. Zion, L.l.c. is 1497908974 and holds a License No. (Illinois).

The current practice location address for Heritage Manor - Mt. Zion, L.l.c. is 1225 Woodland Dr, Mt Zion, IL and can be reached out via phone at 217-864-2356 and via fax at 217-864-4960.

Location: 1225 Woodland Dr, Mt Zion, IL, 61701-3946
institution
Provider Profile Details
NPI Number
1497908974
Provider Name
Heritage Manor - Mt. Zion, L.l.c.
Credential
Provider Entity Type
Organization
Address
1225 Woodland Dr, Mt Zion, IL, 61701-3946
Phone Number
217-864-2356
Fax Number
217-864-4960
Provider Enumeration Date
10/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
37-0909086818 01 IL PRIOR MEDICAID OXYGEN PROVIDER #
institution
Provider Business Practice Location Address Details
Address
1225 Woodland Dr
City
State
Zip
62549-1237
Phone Number
217-864-2356
Fax Number
217-864-4960
person
Provider Business Mailing Address Details
Address
1225 Woodland Dr
City
State
Zip
62549-1237
Phone Number
217-864-2356
Fax Number
217-864-4960
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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