Organization · Type 2 NPI

Heritage Manor - Walnut, LLC

Oxygen Equipment & Supplies (DME) · Walnut, IL

NPI number 1417201963 Active

Practice location

308 S 2nd St
Walnut, IL 61376-9364

Fax (815) 379-2235

Mailing address

115 W Jefferson St, Suite 401
Bloomington, IL 61701-3946

Specialties and licenses

TaxonomyCodeLicense
Oxygen Equipment & Supplies (DME) Primary 332BX2000XNone listed

Oxygen Equipment & Supplies (DME): Definition to come...

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About NPI 1417201963

Heritage Manor - Walnut, LLC's National Provider Identifier is 1417201963, issued on Nov 6, 2012. The primary taxonomy on file is Oxygen Equipment & Supplies (DME) (332BX2000X), and the practice location is in Walnut, IL. The record was last updated on Oct 18, 2016.