institution
Apostolic Christian Home Of Roanoke Illinois Inc.
Oxygen Equipment & Supplies (DME) in Roanoke, Illinois
NPI 1770030074

Apostolic Christian Home Of Roanoke Illinois Inc. is a Oxygen Equipment & Supplies (DME) based in Roanoke, IL and is specialized in Oxygen Equipment & Supplies. Apostolic Christian Home Of Roanoke Illinois Inc. practices in Roanoke, IL. The NPI Number for Apostolic Christian Home Of Roanoke Illinois Inc. is 1770030074 and holds a License No. 0021493 (Illinois).

The current practice location address for Apostolic Christian Home Of Roanoke Illinois Inc. is 1102 W Randolph St, Roanoke, IL and can be reached out via phone at 309-923-2071 and via fax at 309-923-7919. You can also correspond with Apostolic Christian Home Of Roanoke Illinois Inc. through the mailing address at PO BOX 530, ROANOKE, IL - 61561-0530 (mailing address contact number: 309-923-2071).

Location: 1102 W Randolph St, Roanoke, IL, 61561-0530
institution
Provider Profile Details
NPI Number
1770030074
Provider Name
Apostolic Christian Home Of Roanoke Illinois Inc.
Credential
Provider Entity Type
Organization
Address
1102 W Randolph St, Roanoke, IL, 61561-0530
Phone Number
309-923-2071
Fax Number
309-923-7919
Provider Enumeration Date
09/02/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0021493 05 IL
institution
Provider Business Practice Location Address Details
Address
1102 W Randolph St
City
State
Zip
61561-7528
Phone Number
309-923-2071
Fax Number
309-923-7919
person
Provider Business Mailing Address Details
Address
1102 W Randolph St
City
State
Zip
61561-7528
Phone Number
309-923-2071
Fax Number
309-923-7919
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
License No.
0021493 (Illinois)
Definition
Definition to come...
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