institution
Heritage Manor - Dwight, Llc
Oxygen Equipment & Supplies (DME) in Dwight, Illinois
NPI 1679817316

Heritage Manor - Dwight, Llc is a Oxygen Equipment & Supplies (DME) based in Bloomington, IL and is specialized in Oxygen Equipment & Supplies. Heritage Manor - Dwight, Llc practices in Dwight, IL. The NPI Number for Heritage Manor - Dwight, Llc is 1679817316 and holds a License No. (Illinois).

The current practice location address for Heritage Manor - Dwight, Llc is 300 E Mazon Ave, Dwight, IL and can be reached out via phone at 815-584-1240 and via fax at 815-584-1267.

Location: 300 E Mazon Ave, Dwight, IL, 61701-3946
institution
Provider Profile Details
NPI Number
1679817316
Provider Name
Heritage Manor - Dwight, Llc
Credential
Provider Entity Type
Organization
Address
300 E Mazon Ave, Dwight, IL, 61701-3946
Phone Number
815-584-1240
Fax Number
815-584-1267
Provider Enumeration Date
11/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 E Mazon Ave
City
State
Zip
60420-1104
Phone Number
815-584-1240
Fax Number
815-584-1267
person
Provider Business Mailing Address Details
Address
300 E Mazon Ave
City
State
Zip
60420-1104
Phone Number
815-584-1240
Fax Number
815-584-1267
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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