institution
Heritage Manor - Mendota, Llc
Oxygen Equipment & Supplies (DME) in Mendota, Illinois
NPI 1982948683

Heritage Manor - Mendota, Llc is a Oxygen Equipment & Supplies (DME) based in Bloomington, IL and is specialized in Oxygen Equipment & Supplies. Heritage Manor - Mendota, Llc practices in Mendota, IL. The NPI Number for Heritage Manor - Mendota, Llc is 1982948683 and holds a License No. (Illinois).

The current practice location address for Heritage Manor - Mendota, Llc is 1201 1St Ave, Mendota, IL and can be reached out via phone at 815-539-6745 and via fax at 815-538-2017.

Location: 1201 1St Ave, Mendota, IL, 61701-3946
institution
Provider Profile Details
NPI Number
1982948683
Provider Name
Heritage Manor - Mendota, Llc
Credential
Provider Entity Type
Organization
Address
1201 1St Ave, Mendota, IL, 61701-3946
Phone Number
815-539-6745
Fax Number
815-538-2017
Provider Enumeration Date
11/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1201 1St Ave
City
State
Zip
61342-1815
Phone Number
815-539-6745
Fax Number
815-538-2017
person
Provider Business Mailing Address Details
Address
1201 1St Ave
City
State
Zip
61342-1815
Phone Number
815-539-6745
Fax Number
815-538-2017
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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