Organization · Type 2 NPI
Heritage Manor - Lasalle, LLC
Oxygen Equipment & Supplies (DME) · Bloomington, IL
NPI number
1366786444
Active
Practice location
115 W Jefferson St, Suite 401
Bloomington, IL 61701-3946
Fax (309) 829-5477
Mailing address
1445 Chartres St
La Salle, IL 61301-1508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oxygen Equipment & Supplies (DME) Primary | 332BX2000X | None listed |
Oxygen Equipment & Supplies (DME): Definition to come...
Another provider at this address
Other oxygen equipment & supplies (dme) providers in Bloomington
About NPI 1366786444
Heritage Manor - Lasalle, LLC's National Provider Identifier is 1366786444, issued on Nov 15, 2012. The primary taxonomy on file is Oxygen Equipment & Supplies (DME) (332BX2000X), and the practice location is in Bloomington, IL. The record was last updated on Nov 15, 2012.